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MEDCARE EXPRESS - NORTH CHARLESTON LLC

Clinic/Center, Urgent Care·CHARLESTON, SC·NPI: 1457579617Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$35.0M

$34,981,475

Total Claims

912K

Beneficiaries

736K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$4.2M
-5%
2019
$4.0M
-16%
2020
$3.4M
+105%
2021
$6.9M
+0%
2022
$6.9M
-13%
2023
$6.0M
-42%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 36% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$12.7M

171K claims · 36.3%

Your Cost: $74.27/claim|Median: $53.41
1.4× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$4.6M

88K claims · 13.1%

Your Cost: $51.98/claim|Median: $37.81
1.4× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$4.0M

55K claims · 11.5%

Your Cost: $73.30/claim|Median: $57.85
1.3× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$3.3M

30K claims · 9.3%

Your Cost: $108.79/claim|Median: $84.03
1.3× median
87804Normal range

Influenza virus detection, rapid test

$2.6M

217K claims · 7.5%

Your Cost: $12.15/claim|Median: $12.59
1.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$2.4M

65K claims · 6.8%

Your Cost: $36.11/claim|Median: $30.53
1.2× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$2.1M

41K claims · 5.9%

Your Cost: $50.46/claim|Median: $34.62
1.5× median
87426Top 5%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$1.1M

24K claims · 3.2%

Your Cost: $47.03/claim|Median: $30.04
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$959K

78K claims · 2.7%

Your Cost: $12.28/claim|Median: $11.48
1.1× median
S9083Top 25%

Global fee, urgent care centers

$333K

2,431 claims · 1.0%

Your Cost: $137.16/claim|Median: $103.99
1.3× median
81025Normal range

Urine pregnancy test

$163K

26K claims · 0.5%

Your Cost: $6.23/claim|Median: $4.81
1.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$150K

2,755 claims · 0.4%

Your Cost: $54.40/claim|Median: $40.11
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$123K

3,832 claims · 0.4%

Your Cost: $32.10/claim|Median: $25.06
1.3× median
87807Normal range

$121K

11K claims · 0.3%

Your Cost: $11.06/claim|Median: $10.06
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$113K

21K claims · 0.3%

Your Cost: $5.28/claim|Median: $9.56
0.6× median
81003Normal range

Urinalysis, automated without microscopy

$95K

49K claims · 0.3%

Your Cost: $1.96/claim|Median: $1.48
1.3× median
71046Top 25%

Chest X-ray, 2 views

$33K

1,756 claims · 0.1%

Your Cost: $19.07/claim|Median: $8.92
2.1× median
99215Normal range

Office/outpatient visit, high complexity

$30K

284 claims · 0.1%

Your Cost: $106.97/claim|Median: $74.09
1.4× median
87808Normal range

$26K

2,309 claims · 0.1%

Your Cost: $11.24/claim|Median: $9.35
1.2× median
87905Normal range

$22K

2,170 claims · 0.1%

Your Cost: $10.00/claim|Median: $9.68
1.0× median
J1040Top 25%

$7K

626 claims · 0.0%

Your Cost: $11.02/claim|Median: $6.87
1.6× median
86318Normal range

$7K

477 claims · 0.0%

Your Cost: $13.71/claim|Median: $11.61
1.2× median
J1100Normal range

$6K

6,124 claims · 0.0%

Your Cost: $0.96/claim|Median: $0.52
1.8× median
82962Normal range

Blood glucose test by monitoring device

$6K

2,726 claims · 0.0%

Your Cost: $2.15/claim|Median: $1.40
1.5× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$5K

2,492 claims · 0.0%

Your Cost: $2.01/claim|Median: $0.91
2.2× median
J0696Normal range

$4K

2,283 claims · 0.0%

Your Cost: $1.96/claim|Median: $1.34
1.5× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$4K

475 claims · 0.0%

Your Cost: $8.86/claim|Median: $10.88
0.8× median
99051Normal range

$3K

462 claims · 0.0%

Your Cost: $7.26/claim|Median: $7.89
0.9× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$3K

67 claims · 0.0%

Your Cost: $38.99/claim|Median: $25.93
1.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$2K

63 claims · 0.0%

Your Cost: $38.92/claim|Median: $33.85
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$2K

1,090 claims · 0.0%

Your Cost: $2.08/claim|Median: $1.57
1.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$2K

57 claims · 0.0%

Your Cost: $39.76/claim|Median: $27.38
1.5× median
90674Normal range

$2K

97 claims · 0.0%

Your Cost: $19.18/claim|Median: $15.16
1.3× median
74019Normal range

$2K

83 claims · 0.0%

Your Cost: $20.20/claim|Median: $9.82
2.1× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$2K

2,469 claims · 0.0%

Your Cost: $0.67/claim|Median: $0.79
0.9× median
74018Top 25%

$2K

92 claims · 0.0%

Your Cost: $17.28/claim|Median: $7.00
2.5× median
72110Normal range

$1K

44 claims · 0.0%

Your Cost: $31.41/claim|Median: $21.02
1.5× median
86308Top 25%

$766

136 claims · 0.0%

Your Cost: $5.64/claim|Median: $3.84
1.5× median
J2930Normal range

$734

138 claims · 0.0%

Your Cost: $5.32/claim|Median: $3.03
1.8× median
73610Normal range

X-ray of ankle, complete, minimum three views

$644

30 claims · 0.0%

Your Cost: $21.47/claim|Median: $13.55
1.6× median
73130Normal range

$592

31 claims · 0.0%

Your Cost: $19.10/claim|Median: $10.69
1.8× median
74021Normal range

$466

18 claims · 0.0%

Your Cost: $25.89/claim|Median: $10.59
2.4× median
69210Normal range

$459

15 claims · 0.0%

Your Cost: $30.60/claim|Median: $21.74
1.4× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$351

101 claims · 0.0%

Your Cost: $3.48/claim|Median: $9.80
0.4× median
97760Normal range

$322

13 claims · 0.0%

Your Cost: $24.77/claim|Median: $30.29
0.8× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$299

14 claims · 0.0%

Your Cost: $21.35/claim|Median: $12.06
1.8× median
29540Top 25%

$270

13 claims · 0.0%

Your Cost: $20.77/claim|Median: $13.93
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$251

38 claims · 0.0%

Your Cost: $6.60/claim|Median: $4.71
1.4× median
82948Top 25%

$176

51 claims · 0.0%

Your Cost: $3.45/claim|Median: $1.78
1.9× median
J2919Normal range

$110

19 claims · 0.0%

Your Cost: $5.80/claim|Median: $1.77
3.3× median

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