Clinic
Urgent Care, PC - Pennsylvania
Urgent Care, PC - Pennsylvania was paid $25.82M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoURGENT CARE, PC - PENNSYLVANIA
PITTSBURGH, PA 15237
PITTSBURGH, PA 15237
33aNPI1982839031assigned 05/19/2009
33bProvider typeUrgent Care Clinic/Center
28Total paid$25.82M
24GClaims400,297
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Pennsylvania
Rank by total paid#1 of 68
Median peer was paid$914K
This provider vs. median28×
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.
Entity ProliferationAuthorized official KIMBALL, JOY controls 20+ related entities in our dataset. Read more
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 | 6,642 | $626K | |
| 2019 | 5,023 | $432K | |
| 2020 | 11,865 | $840K | |
| 2021 | 117,676 | $7.37M | |
| 2022 | 100,848 | $6.16M | |
| 2023 | 95,017 | $6.05M | |
| 2024incomplete | 63,226 | $4.34M |
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% | 113,711 | 110,142 | $11.28M |
| 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 | 20% | 49,175 | 47,551 | $5.22M |
| S9083 | Global fee urgent care centers | 18% | 49,243 | 48,003 | $4.61M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 32,231 | 31,349 | $3.01M |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 3.2% | 42,811 | 41,033 | $826K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 58,787 | 56,883 | $369K |
| 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 | 1.1% | 2,868 | 2,771 | $292K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23,379 | 11,463 | $86K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 869 | 842 | $51K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14,073 | 13,605 | $29K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 9,164 | 8,904 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 144 | 130 | $15K |
10 more codes
| 90714 | <1% | 877 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 79 | $2K |
| 81025 | <1% | 943 | $1K | |
| 90674 | <1% | 85 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 128 | $397.54 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 253 | $81.71 |
| 81003 | <1% | 1,307 | $59.95 | |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | <1% | 51 | $14.00 |
| 90715 | 0% | 77 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 42 | $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 officialKIMBALL, JOY (CONTRACT MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.