Clinic
Berea Urgent Care LLC
Berea Urgent Care LLC was paid $4.83M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoBEREA URGENT CARE LLC
BEREA, KY 40403
BEREA, KY 40403
33aNPI1912054792assigned 01/04/2007
33bProvider typeUrgent Care Clinic/Center
28Total paid$4.83M
24GClaims164,794
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Kentucky
Rank by total paid#2 of 13
Median peer was paid$254K
This provider vs. median19×
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 | 14,512 | $427K | |
| 2019 | 15,891 | $471K | |
| 2020 | 18,079 | $561K | |
| 2021 | 26,678 | $848K | |
| 2022 | 34,288 | $979K | |
| 2023 | 33,520 | $923K | |
| 2024incomplete | 21,826 | $617K |
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 | 35% | 42,900 | 38,513 | $1.71M |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 16% | 27,463 | 24,857 | $762K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 10,302 | 10,032 | $740K |
| 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 | 8.6% | 7,404 | 6,883 | $414K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 8.6% | 34,657 | 16,179 | $414K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 7,512 | 6,696 | $205K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 14,514 | 13,820 | $176K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.4% | 3,820 | 3,691 | $164K |
| 87428 | 1.9% | 2,876 | 2,758 | $94K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 3,761 | 3,002 | $57K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 2,003 | 1,798 | $49K |
| 87807 | <1% | 1,621 | 1,422 | $15K |
19 more codes
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 222 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 81 | $6K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,584 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 203 | $2K |
| 81002 | <1% | 2,953 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 114 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| 95117 | <1% | 79 | $825.44 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 46 | $698.61 |
| 90658 | <1% | 45 | $618.99 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 60 | $525.10 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 195 | $487.96 |
| 87449 | <1% | 28 | $389.98 | |
| A7006 | Administration set, with small volume filtered pneumatic nebulizer | <1% | 132 | $270.47 |
| 87420 | <1% | 26 | $166.92 | |
| 81003 | <1% | 109 | $26.77 | |
| 888888 | 0% | 40 | $0.00 | |
| 99072 | 0% | 19 | $0.00 | |
| J1094 | Injection, dexamethasone acetate, 1 mg | 0% | 12 | $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 officialSODA, NAWAR (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Lexington Urgent Care PLLC | Lexington, KY | $16.74M |
| Georgetown Urgent Care PLLC | Georgetown, KY | $5.01M |
| Man O War Urgent Care LLC | Lexington, KY | $2.96M |
| Medical Laser Center LLC | Berea, KY | $404K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.