NP / PA
Preston Urgent Care Family Practice, LLC
Preston Urgent Care Family Practice, LLC was paid $1.69M by Medicaid between Jan 2018 and Jun 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoPRESTON URGENT CARE FAMILY PRACTICE, LLC
KINGWOOD, WV 26537
KINGWOOD, WV 26537
33aNPI1720358252assigned 12/30/2011
33bProvider typeFamily Nurse Practitioner
28Total paid$1.69M
24GClaims42,809
24DCodes billed31
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Family Nurse Practitioner providers in West Virginia
Rank by total paid#1 of 48
Median peer was paid$20K
This provider vs. median84×
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 | 6,521 | $331K | |
| 2019 | 2,595 | $133K | |
| 2020 | 5,325 | $190K | |
| 2021 | 5,106 | $184K | |
| 2022 | 10,036 | $374K | |
| 2023 | 9,008 | $330K | |
| 2024incomplete | 4,218 | $145K |
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 | 36% | 11,685 | 10,138 | $614K |
| 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 | 34% | 8,173 | 7,337 | $568K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.5% | 2,671 | 2,469 | $94K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.7% | 4,816 | 4,368 | $79K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 1,025 | 962 | $70K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.8% | 3,017 | 2,676 | $64K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 1.9% | 797 | 722 | $33K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1.8% | 2,078 | 1,897 | $31K |
| 81003 | 1.6% | 1,464 | 1,372 | $27K | |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 1,736 | 1,619 | $26K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 1,469 | 1,104 | $20K |
| 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% | 112 | 105 | $13K |
19 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 324 | $10K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 162 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 169 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 182 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 177 | $5K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 947 | $5K |
| 87807 | <1% | 264 | $3K | |
| 90688 | <1% | 41 | $2K | |
| 90656 | <1% | 48 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $1K |
| 82947 | <1% | 15 | $528.91 | |
| 90733 | <1% | 14 | $212.98 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $204.00 |
| 3044F | <1% | 16 | $72.76 | |
| 3078F | 0% | 309 | $0.00 | |
| 3008F | 0% | 590 | $0.00 | |
| 3075F | 0% | 29 | $0.00 | |
| 3074F | 0% | 379 | $0.00 | |
| 3079F | 0% | 71 | $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 officialPHILLIPS, PEGGY (NURSE PRACTITIONER/OWNER)