Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Waterfront Urgent Care PLLC

Waterfront Urgent Care PLLC was paid $1.03M by Medicaid between Oct 2021 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoWATERFRONT URGENT CARE PLLC
MORGANTOWN, WV 26501
33aNPI1902477714assigned 07/02/2021
28Total paid$1.03M
24GClaims26,679
24DCodes billed23
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in West Virginia

Rank by total paid#4 of 9
Median peer was paid$906K
This provider vs. median1.1×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20211,722$67K
20227,488$299K
20237,764$284K
2024incomplete9,705$375K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 32% 4,882 3,991 $332K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 3,607 3,022 $173K
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 16% 1,864 1,644 $160K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12% 4,552 3,892 $119K
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% 1,794 1,661 $99K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5.9% 4,751 2,081 $61K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.4% 2,062 1,749 $25K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.8% 171 158 $19K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.6% 174 167 $16K
87428 1.1% 431 419 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 864 594 $5K
81025 <1% 307 257 $2K
11 more codes
81003 <1% 871 $1K
71046 Radiologic examination, chest; 2 views <1% 48 $828.80
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 20 $701.86
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 19 $610.73
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 16 $547.11
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 110 $541.99
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 38 $142.95
86308 <1% 14 $55.92
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 15 $12.46
A9150 Non-prescription drugs 0% 46 $0.00
S9088 Services provided in an urgent care center (list in addition to code for service) 0% 23 $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 officialBLANKENSHIP, KEVIN (MEMBER)
Same official

Other billing entities under BLANKENSHIP, KEVIN

Full network →
ProviderLocationPaid
Jacob's Ladder at Brookside Farm, LLCAurora, WV$896K
Tabula Rasa, PLLCCrab Orchard, WV$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.