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URGENT CARE MEDICAL ASSOCIATES, LLC

Clinic/Center, Urgent Care·BROOKFIELD, CT·NPI: 1730479254Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$39.9M

$39,870,571

Total Claims

791K

Beneficiaries

719K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+14%
2019
$3.1M
+48%
2020
$4.6M
+46%
2021
$6.8M
-8%
2022
$6.2M
+35%
2023
$8.4M
-5%
2024
$8.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 36 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 29% of total spending.

99214Top 25%

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

$11.5M

151K claims · 28.8%

Your Cost: $76.12/claim|Median: $53.41
1.4× median
99213Normal range

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

$6.8M

130K claims · 17.0%

Your Cost: $52.32/claim|Median: $37.81
1.4× median
99203Normal range

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

$6.4M

83K claims · 16.1%

Your Cost: $77.76/claim|Median: $57.85
1.3× median
99204Top 25%

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

$6.3M

56K claims · 15.9%

Your Cost: $113.68/claim|Median: $84.03
1.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$2.6M

25K claims · 6.5%

Your Cost: $104.84/claim|Median: $97.61
1.1× median
87426Normal range

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

$1.4M

51K claims · 3.6%

Your Cost: $28.03/claim|Median: $30.04
0.9× median
99051Normal range

$832K

147K claims · 2.1%

Your Cost: $5.65/claim|Median: $7.89
0.7× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$743K

7,653 claims · 1.9%

Your Cost: $97.03/claim|Median: $65.45
1.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$728K

13K claims · 1.8%

Your Cost: $56.37/claim|Median: $40.11
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$714K

27K claims · 1.8%

Your Cost: $26.72/claim|Median: $28.46
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$519K

15K claims · 1.3%

Your Cost: $34.35/claim|Median: $25.06
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$458K

11K claims · 1.1%

Your Cost: $40.98/claim|Median: $39.70
1.0× median
87811Normal range

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

$419K

13K claims · 1.1%

Your Cost: $32.15/claim|Median: $30.53
1.1× median
87804Normal range

Influenza virus detection, rapid test

$166K

10K claims · 0.4%

Your Cost: $16.60/claim|Median: $12.59
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$146K

16K claims · 0.4%

Your Cost: $9.19/claim|Median: $11.48
0.8× median
81025Normal range

Urine pregnancy test

$40K

8,230 claims · 0.1%

Your Cost: $4.85/claim|Median: $4.81
1.0× median
87428Normal range

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

$7K

145 claims · 0.0%

Your Cost: $49.20/claim|Median: $39.63
1.2× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$6K

134 claims · 0.0%

Your Cost: $46.97/claim|Median: $38.79
1.2× median
71046Normal range

Chest X-ray, 2 views

$4K

313 claims · 0.0%

Your Cost: $12.67/claim|Median: $8.92
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

14 claims · 0.0%

Your Cost: $122.70/claim|Median: $111.09
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

145 claims · 0.0%

Your Cost: $10.76/claim|Median: $12.93
0.8× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$1K

860 claims · 0.0%

Your Cost: $1.45/claim|Median: $0.79
1.8× median
90674Normal range

$1K

86 claims · 0.0%

Your Cost: $12.21/claim|Median: $15.16
0.8× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$708

128 claims · 0.0%

Your Cost: $5.53/claim|Median: $10.88
0.5× median
81003Normal range

Urinalysis, automated without microscopy

$494

19K claims · 0.0%

Your Cost: $0.03/claim|Median: $1.48
0.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$342

41 claims · 0.0%

Your Cost: $8.35/claim|Median: $9.70
0.9× median
36415Top 25%

Collection of venous blood by venipuncture

$341

125 claims · 0.0%

Your Cost: $2.73/claim|Median: $1.57
1.7× median
82962Normal range

Blood glucose test by monitoring device

$293

166 claims · 0.0%

Your Cost: $1.76/claim|Median: $1.40
1.3× median
36416Normal range

$109

41 claims · 0.0%

Your Cost: $2.66/claim|Median: $1.31
2.0× median
94761Normal range

$75

27 claims · 0.0%

Your Cost: $2.77/claim|Median: $1.47
1.9× median
99000Normal range

$58

6,086 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.30
0.0× median
99441Normal range

Telephone E/M by physician, 5-10 min

$53

42 claims · 0.0%

Your Cost: $1.26/claim|Median: $13.30
0.1× median
J7620Normal range

$2

24 claims · 0.0%

Your Cost: $0.08/claim|Median: $0.14
0.6× median
J7613Normal range

Albuterol inhalation solution, concentrated, per milligram

$1

34 claims · 0.0%

Your Cost: $0.02/claim|Median: $0.08
0.3× median
90471Normal range

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

$0

120 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
85018Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71

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