Clinic
Middletown Urgent Care LLC
Middletown Urgent Care LLC was paid $171K by Medicaid between Jan 2018 and Nov 2018, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoMIDDLETOWN URGENT CARE LLC
MIDDLETOWN, OH 45044
MIDDLETOWN, OH 45044
33aNPI1467886838assigned 08/21/2013
33bProvider typeUrgent Care Clinic/Center
28Total paid$171K
24GClaims3,770
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Urgent Care Clinic/Center providers in Ohio
Rank by total paid#49 of 95
Median peer was paid$201K
This provider vs. median0.9×
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 | 3,770 | $171K |
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 | 77% | 2,033 | 1,921 | $131K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 599 | 587 | $39K |
| 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% | 17 | 14 | $580.12 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 135 | 130 | $180.97 |
| 94760 | <1% | 810 | 774 | $8.70 | |
| 81002 | <1% | 137 | 134 | $7.26 | |
| 99406 | 0% | 26 | 26 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | 13 | $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 officialGIORDON, MACHELLE (CREDENTIALING SPECIALIST)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.