Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Urgencare, LLC

Urgencare, LLC was paid $1.10M by Medicaid between Mar 2021 and Oct 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoURGENCARE, LLC
LAGRANGE, GA 30240
33aNPI1598223844assigned 03/06/2019
28Total paid$1.10M
24GClaims23,800
24DCodes billed15
24AFirst – last monthMar 2021 – Oct 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Georgia

Rank by total paid#5 of 32
Median peer was paid$135K
This provider vs. median8.2×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2021717$39K
20229,212$528K
20238,776$349K
2024incomplete5,095$188K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48% 7,477 6,950 $527K
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 20% 2,502 2,433 $220K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13% 1,620 1,602 $141K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 9.1% 2,988 2,896 $101K
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 3.4% 351 349 $38K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.0% 4,403 2,191 $33K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.7% 3,369 3,292 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 217 209 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 32 32 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 30 29 $2K
S9083 Global fee urgent care centers <1% 13 12 $981.00
81003 <1% 578 564 $906.47
3 more codes
81025 <1% 115 $849.08
87807 <1% 51 $512.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 54 $31.71

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 officialMARTINEC, JORDAN (PHYSICIAN ASSISTANT/CO-OWNER)