Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

URGENT CARE, INC.- WEST VIRGINIA

Clinic/Center, Urgent Care·SOUTH CHARLESTON, WV·NPI: 1912133315Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$67.0M

$66,963,488

Total Claims

1.3M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$9.9M
-69%
2019
$3.0M
+170%
2020
$8.2M
+23%
2021
$10.1M
+27%
2022
$12.8M
-1%
2023
$12.7M
-19%
2024
$10.3M

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 30% of total spending.

99214Top 25%

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

$19.8M

233K claims · 29.5%

Your Cost: $84.79/claim|Median: $53.41
1.6× median
S9083Normal range

Global fee, urgent care centers

$16.4M

184K claims · 24.6%

Your Cost: $89.46/claim|Median: $103.99
0.9× median
99213Top 25%

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

$13.0M

207K claims · 19.5%

Your Cost: $62.90/claim|Median: $37.81
1.7× median
99203Normal range

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

$4.3M

56K claims · 6.4%

Your Cost: $76.31/claim|Median: $57.85
1.3× median
87426Normal range

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

$2.8M

101K claims · 4.3%

Your Cost: $28.05/claim|Median: $30.04
0.9× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$2.2M

108K claims · 3.3%

Your Cost: $20.70/claim|Median: $11.48
1.8× median
87804Normal range

Influenza virus detection, rapid test

$2.0M

151K claims · 3.0%

Your Cost: $13.24/claim|Median: $12.59
1.1× median
99204Normal range

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

$1.3M

13K claims · 1.9%

Your Cost: $98.71/claim|Median: $84.03
1.2× median
87811Normal range

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

$802K

35K claims · 1.2%

Your Cost: $23.17/claim|Median: $30.53
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$451K

6,029 claims · 0.7%

Your Cost: $74.76/claim|Median: $74.82
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$437K

24K claims · 0.7%

Your Cost: $17.98/claim|Median: $9.56
1.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$431K

5,551 claims · 0.6%

Your Cost: $77.59/claim|Median: $80.15
1.0× median
81003Top 5%

Urinalysis, automated without microscopy

$286K

31K claims · 0.4%

Your Cost: $9.34/claim|Median: $1.48
6.3× median
71046Top 25%

Chest X-ray, 2 views

$256K

12K claims · 0.4%

Your Cost: $21.37/claim|Median: $8.92
2.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$177K

3,433 claims · 0.3%

Your Cost: $51.57/claim|Median: $40.11
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$174K

4,479 claims · 0.3%

Your Cost: $38.82/claim|Median: $25.06
1.5× median
J1100Top 5%

$127K

9,763 claims · 0.2%

Your Cost: $12.96/claim|Median: $0.52
24.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$106K

1,355 claims · 0.2%

Your Cost: $78.35/claim|Median: $72.71
1.1× median
73610Normal range

X-ray of ankle, complete, minimum three views

$100K

4,713 claims · 0.1%

Your Cost: $21.30/claim|Median: $13.55
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$100K

1,078 claims · 0.1%

Your Cost: $92.92/claim|Median: $74.09
1.3× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$99K

4,920 claims · 0.1%

Your Cost: $20.11/claim|Median: $12.06
1.7× median
81025Top 5%

Urine pregnancy test

$98K

8,116 claims · 0.1%

Your Cost: $12.02/claim|Median: $4.81
2.5× median
L4350Normal range

$96K

1,779 claims · 0.1%

Your Cost: $53.76/claim|Median: $52.71
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$83K

1,159 claims · 0.1%

Your Cost: $71.88/claim|Median: $75.18
1.0× median
E0114Normal range

$78K

2,845 claims · 0.1%

Your Cost: $27.57/claim|Median: $29.11
0.9× median
L3908Normal range

$69K

1,694 claims · 0.1%

Your Cost: $40.45/claim|Median: $35.79
1.1× median
73130Top 25%

$68K

3,096 claims · 0.1%

Your Cost: $21.97/claim|Median: $10.69
2.1× median
73110Normal range

X-ray of wrist, complete, minimum three views

$68K

2,877 claims · 0.1%

Your Cost: $23.54/claim|Median: $12.64
1.9× median
73562Normal range

$66K

2,995 claims · 0.1%

Your Cost: $22.11/claim|Median: $12.28
1.8× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$66K

7,202 claims · 0.1%

Your Cost: $9.17/claim|Median: $0.91
10.1× median
A6449Normal range

$60K

6,456 claims · 0.1%

Your Cost: $9.32/claim|Median: $5.88
1.6× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$60K

2,422 claims · 0.1%

Your Cost: $24.83/claim|Median: $10.88
2.3× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$45K

512 claims · 0.1%

Your Cost: $87.81/claim|Median: $83.63
1.0× median
J2930Top 25%

$40K

3,451 claims · 0.1%

Your Cost: $11.59/claim|Median: $3.03
3.8× median
J0696Top 25%

$39K

3,681 claims · 0.1%

Your Cost: $10.62/claim|Median: $1.34
7.9× median
12001Normal range

$38K

774 claims · 0.1%

Your Cost: $48.60/claim|Median: $64.99
0.7× median
10060Normal range

Incision and drainage of abscess, simple

$37K

549 claims · 0.1%

Your Cost: $67.97/claim|Median: $75.72
0.9× median
73140Normal range

$35K

1,650 claims · 0.1%

Your Cost: $20.99/claim|Median: $11.18
1.9× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$34K

454 claims · 0.1%

Your Cost: $75.77/claim|Median: $81.92
0.9× median
74018Top 25%

$34K

1,688 claims · 0.1%

Your Cost: $20.33/claim|Median: $7.00
2.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$34K

2,681 claims · 0.1%

Your Cost: $12.55/claim|Median: $9.70
1.3× median
L3260Top 25%

$33K

929 claims · 0.0%

Your Cost: $35.62/claim|Median: $16.57
2.1× median
73030Top 25%

$33K

1,586 claims · 0.0%

Your Cost: $20.54/claim|Median: $10.94
1.9× median
74022Top 25%

$30K

860 claims · 0.0%

Your Cost: $34.79/claim|Median: $11.86
2.9× median
72100Normal range

$28K

1,246 claims · 0.0%

Your Cost: $22.69/claim|Median: $15.14
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$26K

242 claims · 0.0%

Your Cost: $108.52/claim|Median: $111.09
1.0× median
86308Top 10%

$23K

2,162 claims · 0.0%

Your Cost: $10.77/claim|Median: $3.84
2.8× median
73080Normal range

$23K

1,141 claims · 0.0%

Your Cost: $20.19/claim|Median: $10.78
1.9× median
A4565Top 10%

$21K

1,427 claims · 0.0%

Your Cost: $14.56/claim|Median: $5.77
2.5× median
90471Normal range

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

$20K

3,257 claims · 0.0%

Your Cost: $6.06/claim|Median: $9.80
0.6× median

Other Top Providers in West Virginia

View all →

Rem Community Options Inc.

Community/Behavioral Health

$224.9M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$220.0M

Charleston Area Medical Center INC

General Acute Care Hospital

$199.8M

Voca Corporation of West Virginia Inc.

Clinic/Center Developmental Disabilities

$178.3M

Mulberry Street Management Services Inc.

In Home Supportive Care

$175.6M

Similar Providers

Other top providers in Clinic/Center, Urgent Care

Nextcare Arizona LLC

Tempe, AZ

$161.3M

← All providersAll providers in West Virginia →How we detect fraud →