Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Adventist Healthcare Urgent Care Centers INC

Adventist Healthcare Urgent Care Centers INC was paid $1.56M by Medicaid between Jan 2018 and Sep 2022, across 13 billing codes. Its largest line is S9083, Global fee urgent care centers — 56% of everything it billed.

33Billing provider infoADVENTIST HEALTHCARE URGENT CARE CENTERS INC
ROCKVILLE, MD 20852
33aNPI1427454222assigned 11/06/2014
28Total paid$1.56M
24GClaims20,201
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers

Next to other Urgent Care Clinic/Center providers in Maryland

Rank by total paid#45 of 114
Median peer was paid$654K
This provider vs. median2.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LEE, JAMES controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2018557$68K
2019447$22K
202010,078$583K
20218,580$823K
2022539$59K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9083 Global fee urgent care centers 56% 9,891 8,039 $875K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18% 4,445 3,660 $272K
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 12% 1,874 1,631 $183K
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 10% 2,466 2,050 $158K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.3% 865 741 $52K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 98 86 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 123 112 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 258 105 $1K
71046 Radiologic examination, chest; 2 views <1% 61 58 $925.81
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 74 66 $484.67
93000 <1% 15 13 $374.44
81003 <1% 17 15 $246.77
1 more codes
99215 Doctor's office visit, returning patient (complex) <1% 14 $193.72

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 officialLEE, JAMES (EVP/CFO)
Parent organizationADVENTIST HEALTHCARE INC
Same official

Other billing entities under LEE, JAMES

Full network →
ProviderLocationPaid
Kona HospitalKealakekua, HI$22.27M
Adventist Healthcare, INC.Rockville, MD$9.70M
Adventist Healthcare, INC.Silver Spring, MD$4.50M
Pure Dental, PCFlushing, NY$1.24M
Access Home Medical LLCSumter, SC$520K
Adventist Rehabilitation Hospital of Maryland INCRockville, MD$470K
James Lee MD PCColorado Springs, CO$450K
Peak Surgery Center LLCColorado Springs, CO$36K
Ascension Behavioral Healthcare, P.A.Rock Hill, SC$23K
Heartcare, PCCullman, AL$8K
DR Keith Lee-Integrative Mental Health, LLCOwensboro, KY$6K
Ent & Allergy Specialists of Virginia PCAshburn, VA$1K
Outpatient Biopsy CenterAlhambra, CA$430.63
Adventist Healthcare, INC.Rockville, MD$0.00
Vascular Center of Intervention, INC.Fresno, CA$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.