Clinic
Urgent Care Center of Bloomfield PLLC
Urgent Care Center of Bloomfield PLLC was paid $1.47M by Medicaid between Jan 2021 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoURGENT CARE CENTER OF BLOOMFIELD PLLC
BLOOMFIELD, CT 06002
BLOOMFIELD, CT 06002
33aNPI1588264659assigned 10/28/2020
33bProvider typeClinic/Center
28Total paid$1.47M
24GClaims38,877
24DCodes billed25
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Connecticut
Rank by total paid#6 of 36
Median peer was paid$63K
This provider vs. median23×
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 | 10,118 | $476K | |
| 2022 | 9,510 | $384K | |
| 2023 | 9,117 | $308K | |
| 2024incomplete | 10,132 | $303K |
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 | 35% | 9,094 | 7,689 | $508K |
| 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% | 3,829 | 3,470 | $343K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 17% | 3,630 | 3,406 | $249K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 4,275 | 3,623 | $175K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.9% | 3,184 | 2,871 | $102K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.5% | 1,133 | 1,021 | $37K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 2,059 | 1,081 | $19K |
| 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 | 1.2% | 176 | 171 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,391 | 1,242 | $13K |
| 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 | <1% | 31 | 26 | $4K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 36 | 28 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 221 | 185 | $799.19 |
13 more codes
| 86580 | <1% | 78 | $433.06 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $151.94 |
| 81025 | <1% | 14 | $84.56 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 4,832 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 29 | $0.00 |
| 3210F | 0% | 73 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 16 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,741 | $0.00 |
| 1036F | 0% | 392 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 367 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 1,658 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 175 | $0.00 |
| 3017F | 0% | 429 | $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 officialRAMIREZ, GILBERTO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| The Urgent Care Center of Connecticut, LLC | Bloomfield, CT | $405K |
| Ramirez Medical Practice PLLC | Bloomfield, CT | $135K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.