The Urgent Care Group Billing Above Its Own Triage Notes

3 providers inside "Metro Urgent Care - Group C" (PROV-C1, PROV-C2, PROV-C3) bill the highest-severity E/M code, 99285, on 42 encounters their own triage notes marked as low or moderate acuity — $14,490.00 in overbilling above what the acuity actually supports. Dr. Okafor at the trauma center also bills 99285 constantly, but his case mix is genuinely critical/high acuity on every one of his encounters — zero mismatches, not upcoding.