Starmed Urgent & Family Care, P.A.
Starmed Urgent & Family Care, P.A. was paid $5.24M by Medicaid between Jan 2019 and Dec 2024, across 52 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 49% of everything it billed.
CHARLOTTE, NC 28217
Next to other Physician Assistant providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,345 | $61K | |
| 2020 | 30,890 | $689K | |
| 2021 | 140,981 | $2.26M | |
| 2022 | 86,744 | $1.86M | |
| 2023 | 36,393 | $207K | |
| 2024incomplete | 25,183 | $167K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 49% | 84,906 | 33,794 | $2.57M |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 12% | 58,452 | 23,921 | $649K |
| 99199 | Unlisted special service, procedure or report | 8.8% | 78,588 | 46,185 | $464K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 7.0% | 21,541 | 13,293 | $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 | 4.2% | 10,266 | 3,762 | $220K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.6% | 22,602 | 14,656 | $189K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.9% | 12,804 | 9,743 | $150K |
| 0001A | 2.0% | 5,483 | 2,577 | $104K | |
| 0002A | 1.6% | 4,789 | 2,193 | $84K | |
| 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 | 1.3% | 2,283 | 1,488 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 3,638 | 1,857 | $55K |
| 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 | 1.0% | 1,351 | 784 | $53K |
40 more codes
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 199 | $40K |
| 0072A | <1% | 1,165 | $39K | |
| 0071A | <1% | 1,129 | $38K | |
| 0003A | <1% | 675 | $21K | |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 85 | $20K |
| M0222 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring | <1% | 332 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,000 | $15K |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | <1% | 214 | $14K |
| 0012A | <1% | 662 | $10K | |
| 0011A | <1% | 725 | $10K | |
| 90837 | Psychotherapy session, about an hour | <1% | 433 | $8K |
| 0073A | <1% | 121 | $6K | |
| 99401 | <1% | 1,107 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 384 | $5K |
| M0244 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | <1% | 21 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 598 | $4K |
| 0031A | <1% | 241 | $4K | |
| 0004A | <1% | 79 | $3K | |
| 0013A | <1% | 134 | $2K | |
| 81025 | <1% | 556 | $2K | |
| 81002 | <1% | 1,698 | $2K | |
| 99051 | <1% | 74 | $1K | |
| 0111A | <1% | 37 | $1K | |
| 0112A | <1% | 38 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 66 | $1K |
| 86328 | <1% | 23 | $723.68 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 23 | $482.67 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | $474.82 |
| 86308 | <1% | 127 | $282.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 415 | $279.90 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 202 | $253.37 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 22 | $172.90 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $165.30 |
| 83986 | <1% | 33 | $13.89 | |
| 94760 | <1% | 61 | $4.14 | |
| 3008F | <1% | 590 | $0.02 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 391 | $0.00 |
| Q0222 | Injection, bebtelovimab, 175 mg | 0% | 60 | $0.00 |
| 99000 | 0% | 18 | $0.00 | |
| 99072 | 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.