Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

URGENT CARE ENTERPRISE LLC

NPI: 1477087658 · ANTIOCH, TN 37013 · Urgent Care Clinic/Center · NPI assigned 04/14/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOWORTH, WILLIAM controls 20+ related entities in our dataset. Read more

$11.58M
Total Medicaid Paid
243,034
Total Claims
203,066
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOWORTH, WILLIAM (PRESIDENT, URGENT CARE)
Parent OrganizationGALEN HOLDCO, LLC
NPI Enumeration Date04/14/2017

Related Entities

Other providers sharing the same authorized official: HOWORTH, WILLIAM

ProviderCityStateTotal Paid
URGENT CARE NEVADA, LLC HENDERSON NV $34.81M
MD NOW MEDICAL CENTERS INC WEST PALM BEACH FL $4.76M
KANSAS CARENOW URGENT CARE LLC LEAWOOD KS $2.59M
CHARLESTON CARENOW URGENT CARE, LLC GOOSE CREEK SC $1.83M
ORLANDO CARENOW URGENT CARE LLC WINTER SPRINGS FL $1.03M
NORTHERN VIRGINIA CARENOW URGENT CARE, LLC STERLING VA $799K
METHODIST CARENOW URGENT CARE PLLC SAN ANTONIO TX $785K
HEALTHONE CARENOW URGENT CARE, LLC DENVER CO $676K
UTAH CARENOW URGENT CARE, LLC SALT LAKE CITY UT $577K
HEALTHONE CARENOW URGENT CARE, LLC AURORA CO $547K
MD NOW MEDICAL CENTERS INC WEST PALM BEACH FL $439K
MD NOW MEDICAL CENTERS INC LAKE WORTH FL $420K
HEALTHONE CARENOW URGENT CARE, LLC LITTLETON CO $366K
HEALTHONE CARENOW URGENT CARE, LLC GREENWOOD VILLAGE CO $359K
EL PASO CARENOW URGENT CARE, PLLC EL PASO TX $338K
EAST FLORIDA CARENOW URGENT CARE, LLC PORT ST LUCIE FL $261K
HEALTHONE CARENOW URGENT CARE, LLC PARKER CO $210K
HOUSTON CARENOW URGENT CARE PLLC MAGNOLIA TX $191K
JACKSONVILLE CARENOW URGENT CARE, LLC JACKSONVILLE FL $166K
HEALTHONE CARENOW URGENT CARE, LLC ARVADA CO $165K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,279 $582K
2019 18,420 $913K
2020 19,344 $1.05M
2021 37,872 $2.00M
2022 61,055 $2.71M
2023 57,631 $2.69M
2024 30,433 $1.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 61,021 55,807 $4.38M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38,453 31,743 $2.44M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,462 22,801 $1.51M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20,888 18,007 $1.28M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11,769 10,401 $882K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13,804 12,434 $374K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,200 2,825 $192K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 10,013 8,669 $164K
87428 5,675 4,946 $146K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 19,335 8,089 $73K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16,198 13,769 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 832 662 $27K
99215 Prolong outpt/office vis 287 260 $21K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,112 3,336 $18K
99205 Prolong outpt/office vis 140 125 $12K
99201 59 58 $4K
71046 Radiologic examination, chest; 2 views 704 596 $4K
81025 1,741 1,484 $3K
81002 3,739 3,143 $2K
73610 283 243 $2K
73630 214 178 $1K
69209 121 90 $915.68
93000 132 126 $724.74
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 162 140 $717.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,351 1,201 $567.08
87807 148 129 $478.97
J1885 Injection, ketorolac tromethamine, per 15 mg 599 517 $437.30
73140 65 60 $407.55
J0696 Injection, ceftriaxone sodium, per 250 mg 434 388 $254.98
73110 17 13 $105.21
86308 69 64 $97.63
73130 13 12 $42.51
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 47 44 $12.83
81003 139 57 $10.00
99000 433 360 $7.78
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 16 14 $1.32
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 14 13 $0.96
99051 137 128 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 79 63 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 129 71 $0.00