Clinic
Hometown Urgent Care
Hometown Urgent Care was paid $1.54M by Medicaid between Jan 2021 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoHOMETOWN URGENT CARE
HARLAN, KY 40831
HARLAN, KY 40831
33aNPI1730795261assigned 09/21/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.54M
24GClaims69,637
24DCodes billed23
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Kentucky
Rank by total paid#6 of 13
Median peer was paid$254K
This provider vs. median6.1×
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 | 6,756 | $188K | |
| 2022 | 11,998 | $312K | |
| 2023 | 24,499 | $546K | |
| 2024incomplete | 26,384 | $493K |
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 | 40% | 20,538 | 18,924 | $609K |
| 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% | 4,005 | 3,643 | $200K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 9.6% | 5,791 | 5,492 | $148K |
| 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 | 8.3% | 2,845 | 2,656 | $128K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 7.7% | 12,810 | 12,130 | $119K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.4% | 6,946 | 6,319 | $98K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 4.8% | 3,786 | 3,493 | $73K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 2,159 | 2,010 | $47K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 4,979 | 2,318 | $44K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 887 | 821 | $30K |
| 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 | 1.5% | 382 | 314 | $23K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 418 | 354 | $10K |
11 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 113 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,512 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,059 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 84 | $1K |
| 87807 | <1% | 142 | $961.70 | |
| 87634 | <1% | 20 | $716.04 | |
| 69210 | <1% | 29 | $345.01 | |
| 81002 | <1% | 863 | $170.84 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 162 | $53.12 |
| 81000 | <1% | 67 | $24.87 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 40 | $13.40 |
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 officialCOLDIRON, PATRICIA (OWNER)