Behavioral
Hope Primary & Urgent Care of Williamsburg PLLC
Hope Primary & Urgent Care of Williamsburg PLLC was paid $834K by Medicaid between Jul 2022 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoHOPE PRIMARY & URGENT CARE OF WILLIAMSBURG PLLC
WILLIAMSBURG, KY 40769
WILLIAMSBURG, KY 40769
33aNPI1851058028assigned 11/23/2021
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$834K
24GClaims46,805
24DCodes billed21
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky
Rank by total paid#43 of 112
Median peer was paid$240K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2022 | 6,791 | $156K | |
| 2023 | 17,803 | $331K | |
| 2024incomplete | 22,211 | $347K |
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 | 44% | 13,996 | 11,633 | $365K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 4,146 | 3,443 | $172K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 10% | 3,375 | 2,943 | $86K |
| 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 | 7.8% | 1,590 | 1,419 | $65K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.9% | 2,658 | 2,227 | $41K |
| 87428 | 3.5% | 666 | 605 | $29K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.2% | 3,227 | 2,858 | $27K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 1,835 | 1,519 | $25K |
| 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% | 98 | 87 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 272 | 247 | $5K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 326 | 255 | $5K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 13,396 | 11,132 | $3K |
9 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 103 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 800 | $850.93 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 73 | $784.12 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $755.25 |
| 87807 | <1% | 57 | $355.68 | |
| 99401 | <1% | 17 | $153.84 | |
| 80305 | <1% | 14 | $58.97 | |
| 96127 | <1% | 21 | $40.88 | |
| 81003 | <1% | 110 | $7.47 |
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 officialCORDER, JAMES (OWNER)