Clinic
Gold Star Urgent Care LLC
Gold Star Urgent Care LLC was paid $619K by Medicaid between Aug 2021 and Nov 2024, across 15 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 31% of everything it billed.
33Billing provider infoGOLD STAR URGENT CARE LLC
FLORENCE, SC 29505
FLORENCE, SC 29505
33aNPI1528643608assigned 03/10/2021
33bProvider typeUrgent Care Clinic/Center
28Total paid$619K
24GClaims13,038
24DCodes billed15
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in South Carolina
Rank by total paid#21 of 36
Median peer was paid$695K
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 | |
|---|---|---|---|
| 2021 | 2,354 | $140K | |
| 2022 | 5,569 | $274K | |
| 2023 | 4,013 | $158K | |
| 2024incomplete | 1,102 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 2,145 | 1,775 | $194K |
| 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 | 16% | 1,587 | 1,380 | $97K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14% | 1,853 | 1,584 | $88K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.7% | 1,194 | 947 | $60K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 9.2% | 1,129 | 903 | $57K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.5% | 589 | 542 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 727 | 692 | $32K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 1,865 | 858 | $18K |
| 99205 | Prolong outpt/office vis | 2.8% | 151 | 112 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 1,533 | 1,382 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 65 | 59 | $6K |
| 87807 | <1% | 43 | 39 | $354.00 |
3 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 officialLANE-MILO, LATOYA (NURSE PRACTITIONER)