Physician
Wedgewood Urgent Care, LTD
Wedgewood Urgent Care, LTD was paid $4.33M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoWEDGEWOOD URGENT CARE, LTD
POWELL, OH 43065
POWELL, OH 43065
33aNPI1487601167assigned 05/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$4.33M
24GClaims82,780
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#27 of 739
Median peer was paid$30K
This provider vs. median146×
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 | 11,430 | $583K | |
| 2019 | 10,830 | $601K | |
| 2020 | 10,706 | $458K | |
| 2021 | 16,171 | $749K | |
| 2022 | 14,782 | $800K | |
| 2023 | 10,414 | $611K | |
| 2024incomplete | 8,447 | $526K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 42,312 | 39,057 | $2.57M |
| 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 | 18% | 9,635 | 9,091 | $771K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.7% | 7,079 | 6,594 | $288K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.8% | 7,411 | 6,961 | $208K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.8% | 3,908 | 3,733 | $206K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 3,308 | 3,159 | $139K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 853 | 829 | $73K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,684 | 2,590 | $33K |
| 87400 | <1% | 1,116 | 545 | $11K | |
| 87428 | <1% | 302 | 292 | $9K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 66 | 48 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 265 | 195 | $4K |
6 more codes
| 81002 | <1% | 1,237 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | $1K |
| 81025 | <1% | 95 | $616.26 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 19 | $272.65 |
| 94760 | <1% | 1,084 | $1.44 | |
| 99000 | 0% | 1,353 | $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 officialORTH, FRANK (MEDICAL DIRECTOR)