Urgent Care, INC.- West Virginia
Urgent Care, INC.- West Virginia was paid $66.96M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
SOUTH CHARLESTON, WV 25309
Next to other Emergency Medicine Physician providers in West Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 145,047 | $9.86M | |
| 2019 | 47,544 | $3.03M | |
| 2020 | 153,283 | $8.19M | |
| 2021 | 206,672 | $10.11M | |
| 2022 | 264,396 | $12.80M | |
| 2023 | 249,271 | $12.68M | |
| 2024incomplete | 214,648 | $10.29M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 233,304 | 221,426 | $19.78M |
| S9083 | Global fee urgent care centers | 25% | 183,821 | 164,812 | $16.44M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 207,280 | 190,681 | $13.04M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 55,790 | 54,210 | $4.26M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.3% | 101,465 | 95,807 | $2.85M |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.3% | 107,807 | 102,670 | $2.23M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.0% | 150,815 | 73,667 | $2.00M |
| 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 | 1.9% | 12,899 | 12,507 | $1.27M |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.2% | 34,618 | 32,408 | $802K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,029 | 5,771 | $451K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24,320 | 22,326 | $437K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 5,551 | 5,348 | $431K |
73 more codes
| 81003 | <1% | 30,643 | $286K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 11,989 | $256K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,433 | $177K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,479 | $174K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 9,763 | $127K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,355 | $106K |
| 73610 | <1% | 4,713 | $100K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,078 | $100K |
| 73630 | <1% | 4,920 | $99K | |
| 81025 | <1% | 8,116 | $98K | |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | <1% | 1,779 | $96K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,159 | $83K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 2,845 | $78K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 1,694 | $69K |
| 73130 | <1% | 3,096 | $68K | |
| 73110 | <1% | 2,877 | $68K | |
| 73562 | <1% | 2,995 | $66K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 7,202 | $66K |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | <1% | 6,456 | $60K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,422 | $60K |
| 99384 | <1% | 512 | $45K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 3,451 | $40K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 3,681 | $39K |
| 12001 | <1% | 774 | $38K | |
| 10060 | <1% | 549 | $37K | |
| 73140 | <1% | 1,650 | $35K | |
| 99383 | <1% | 454 | $34K | |
| 74018 | <1% | 1,688 | $34K | |
| 93000 | <1% | 2,681 | $34K | |
| L3260 | Surgical boot/shoe, each | <1% | 929 | $33K |
| 73030 | <1% | 1,586 | $33K | |
| 74022 | <1% | 860 | $30K | |
| 72100 | <1% | 1,246 | $28K | |
| 99205 | Prolong outpt/office vis | <1% | 242 | $26K |
| 86308 | <1% | 2,162 | $23K | |
| 73080 | <1% | 1,141 | $23K | |
| A4565 | Slings | <1% | 1,427 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,257 | $20K |
| 82947 | <1% | 2,124 | $19K | |
| 71101 | <1% | 786 | $18K | |
| 29125 | <1% | 438 | $17K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,421 | $14K |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 1,433 | $13K |
| S0077 | Injection, clindamycin phosphate, 300 mg | <1% | 600 | $11K |
| Q4049 | Finger splint, static | <1% | 901 | $10K |
| 90714 | <1% | 1,308 | $9K | |
| 90674 | <1% | 1,316 | $8K | |
| 73090 | <1% | 347 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 332 | $5K |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 374 | $5K |
| 12002 | <1% | 80 | $4K | |
| 69209 | <1% | 454 | $4K | |
| 73590 | <1% | 237 | $4K | |
| 97802 | <1% | 307 | $3K | |
| Q4022 | Cast supplies, short arm splint, adult (11 years +), fiberglass | <1% | 148 | $3K |
| 73502 | <1% | 154 | $3K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 524 | $2K |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 445 | $2K |
| 72040 | <1% | 70 | $2K | |
| 99201 | <1% | 31 | $941.63 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 93 | $771.98 |
| 29515 | <1% | 12 | $366.06 | |
| 90715 | <1% | 208 | $355.42 | |
| 73660 | <1% | 12 | $164.93 | |
| 90661 | <1% | 71 | $100.98 | |
| G0008 | Administration of influenza virus vaccine | <1% | 20 | $77.00 |
| Q4024 | Cast supplies, short arm splint, pediatric (0-10 years), fiberglass | <1% | 12 | $44.01 |
| 97803 | <1% | 77 | $40.00 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 157 | $17.00 |
| 87070 | 0% | 110 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 186 | $0.00 |
| 99000 | 0% | 58 | $0.00 | |
| 99051 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| University of Pittsburgh Physicians | Pittsburgh, PA | $23.58M |
| Great Lakes Physician Practice PC | Jamestown, NY | $8.88M |
| UPMC Altoona | Altoona, PA | $394K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $287K |
| UPMC Altoona | Altoona, PA | $230K |
| UPMC Altoona | Altoona, PA | $165K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $128K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $107K |
| UPMC Advanced Practice Providers | Pittsburgh, PA | $75K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $38K |
| UPMC Western Maryland Health Services, LLC | Frostburg, MD | $21K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $14K |
| University of Pittsburgh Physicians | Clarion, PA | $4K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $2K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $1K |
| UPMC Community Medicine, INC | Pittsburgh, PA | $1K |
| UPMC Western Maryland Health Services, LLC | Mc Henry, MD | $949.96 |
| UPMC Western Maryland Health Services, LLC | Frostburg, MD | $406.73 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.