Clinic
Lyons Primary Urgent Care LLC
Lyons Primary Urgent Care LLC was paid $643K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
33Billing provider infoLYONS PRIMARY URGENT CARE LLC
NEW LEXINGTON, OH 43764
NEW LEXINGTON, OH 43764
33aNPI1407228588assigned 10/28/2015
33bProvider typeUrgent Care Clinic/Center
28Total paid$643K
24GClaims13,350
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Ohio
Rank by total paid#31 of 95
Median peer was paid$201K
This provider vs. median3.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,362 | $166K | |
| 2019 | 3,228 | $138K | |
| 2020 | 1,781 | $79K | |
| 2021 | 1,618 | $82K | |
| 2022 | 1,347 | $69K | |
| 2023 | 952 | $54K | |
| 2024incomplete | 1,062 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 80% | 9,900 | 8,688 | $513K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 1,976 | 1,884 | $108K |
| 99051 | 1.7% | 1,085 | 1,034 | $11K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.5% | 166 | 145 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 15 | 14 | $915.31 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 18 | 18 | $317.31 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 65 | 60 | $246.60 |
| 90756 | <1% | 13 | 13 | $167.70 | |
| 81003 | <1% | 15 | 15 | $83.86 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | 12 | $49.64 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 14 | 14 | $23.46 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | 18 | $19.35 |
1 more codes
| 94760 | 0% | 41 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialESPINOZA-LYONS, ALBERTA (OWNER APRN CNP)