Clinic
West End Pediatric Urgent Care LLC
West End Pediatric Urgent Care LLC was paid $1.03M by Medicaid between Sep 2022 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoWEST END PEDIATRIC URGENT CARE LLC
ROCHESTER, NY 14616
ROCHESTER, NY 14616
33aNPI1407302367assigned 08/31/2016
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.03M
24GClaims21,434
24DCodes billed14
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#57 of 138
Median peer was paid$576K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2022 | 1,572 | $81K | |
| 2023 | 7,560 | $356K | |
| 2024incomplete | 12,302 | $595K |
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 | 22% | 3,765 | 3,646 | $229K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 21% | 1,270 | 1,248 | $212K |
| 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 | 15% | 1,401 | 1,401 | $157K |
| 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 | 15% | 1,756 | 1,723 | $151K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 1,969 | 1,968 | $148K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.9% | 2,247 | 2,205 | $61K |
| 99051 | 4.3% | 6,416 | 6,249 | $45K | |
| 76140 | 1.3% | 1,124 | 1,074 | $14K | |
| 71046 | Radiologic examination, chest; 2 views | 1.0% | 408 | 402 | $10K |
| 99050 | <1% | 281 | 273 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 25 | 25 | $493.19 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 747 | 735 | $52.33 |
2 more codes
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 officialO'GARA, KEVIN (SOLE OWNER)
| Provider | Location | Paid |
|---|---|---|
| English Road Pediatrics and Adolescent Medicine | Rochester, NY | $8.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.