Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

URGENT CARE, PC - PENNSYLVANIA

NPI: 1982839031 · PITTSBURGH, PA 15237 · Urgent Care Clinic/Center · NPI assigned 05/19/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KIMBALL, JOY controls 20+ related entities in our dataset. Read more

$25.82M
Total Medicaid Paid
400,297
Total Claims
376,414
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIMBALL, JOY (CONTRACT MANAGER)
NPI Enumeration Date05/19/2009

Related Entities

Other providers sharing the same authorized official: KIMBALL, JOY

ProviderCityStateTotal Paid
MEDEXPRESS URGENT CARE, PC - VIRGINIA BLUEFIELD VA $50.52M
DWIC OF TAMPA BAY, INC. CLEARWATER FL $11.05M
MEDEXPRESS URGENT CARE, PC - MARYLAND HAGERSTOWN MD $9.92M
MEDEXPRESS, INC - DELAWARE WILMINGTON DE $7.89M
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA MONROEVILLE PA $370K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA INDIANA PA $73K
MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA FAIRMONT WV $41K
MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA MARTINSBURG WV $35K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA WILLIAMSPORT PA $20K
MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC BOYNTON BEACH FL $20K
MEDEXPRESS URGENT CARE, PC-PENNSYLVANIA EDWARDSVILLE PA $11K
MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA MORGANTOWN WV $8K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA PITTSBURGH PA $3K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA ERIE PA $3K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA LANCASTER PA $2K
MEDEXPRESS URGENT CARE, PC-PENNSYLVANIA WILKES BARRE PA $1K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA YORK PA $1K
MEDEXPRESS, INC - DELAWARE NEW CASTLE DE $655.96
MEDEXPRESS URGENT CARE, PC - VIRGINIA BLUEFIELD VA $73.03
MEDEXPRESS URGENT CARE, PC - VIRGINIA DANVILLE VA $1.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 63,226 $4.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 113,711 110,142 $11.28M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 49,175 47,551 $5.22M
S9083 Global fee urgent care centers 49,243 48,003 $4.61M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32,231 31,349 $3.01M
S9088 Services provided in an urgent care center (list in addition to code for service) 42,811 41,033 $826K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 58,787 56,883 $369K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,868 2,771 $292K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 23,379 11,463 $86K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 869 842 $51K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14,073 13,605 $29K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 9,164 8,904 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 144 130 $15K
90714 877 863 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 79 77 $2K
81025 943 918 $1K
90674 85 85 $1K
71046 Radiologic examination, chest; 2 views 128 124 $397.54
J1885 Injection, ketorolac tromethamine, per 15 mg 253 231 $81.71
81003 1,307 1,276 $59.95
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 51 49 $14.00
90715 77 74 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 42 41 $0.00