NP / PA
Carefirst Urgent Care Center LLC
Carefirst Urgent Care Center LLC was paid $2.80M by Medicaid between Jan 2018 and Aug 2020, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoCAREFIRST URGENT CARE CENTER LLC
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1699725234assigned 05/12/2006
33bProvider typeNurse Practitioner
28Total paid$2.80M
24GClaims114,047
24DCodes billed28
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#20 of 260
Median peer was paid$89K
This provider vs. median31×
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 | 54,056 | $985K | |
| 2019 | 41,257 | $1.22M | |
| 2020 | 18,734 | $589K |
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 | 67% | 27,916 | 26,403 | $1.88M |
| 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 | 17% | 6,496 | 6,100 | $483K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.6% | 3,818 | 3,528 | $270K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 22,616 | 12,815 | $81K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 16,322 | 15,663 | $55K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 201 | 191 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 268 | 238 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 476 | 446 | $2K |
| 81025 | <1% | 1,365 | 1,311 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 604 | 574 | $940.53 |
| 81003 | <1% | 2,551 | 2,440 | $745.75 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 69 | 69 | $98.47 |
16 more codes
| 87807 | <1% | 24 | $39.74 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 13,840 | $34.30 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 3,879 | $16.54 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 42 | $11.71 |
| 1036F | <1% | 3,158 | $0.02 | |
| 4004F | <1% | 863 | $0.01 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 3,599 | $0.01 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | <1% | 2,981 | $0.01 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,638 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 160 | $0.00 |
| 73130 | 0% | 12 | $0.00 | |
| 73630 | 0% | 14 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 50 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 51 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 20 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 14 | $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 officialKINGERY, JEFF (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Hardin Professional Services, LLC | Elizabethtown, KY | $4.73M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.