Journal of Urgent Care Medicine

Commercial Reimbursement In Urgent Care

While examining 17,410,492 commercially insured visits in the Experity EMR from November 1, 2024, through October 31, 2025, we calculated zero-balance net revenue per visit (NRV) for urgent care by state. NRV represents total payments from both patients and insurers when the claim is closed, and it includes evaluation/management and ancillary codes. Data include commercial plans and third‑party managed Medicaid and Medicare but exclude self-pay, workers’ compensation, employer-paid services, motor vehicle accidents, and traditional Medicare …

Urgent Care Testing For Chlamydia and Gonorrhea

About three-quarters of urgent care centers test for C. trachomatis and N. gonorrhoeae (CT/NG) infections either in-house or by sending out, but utilization lags. Here’s why it matters. An Urgent Care Consultants analysis of 90,856,421 visits charted in the Experity EMR (January 1, 2022–September 13, 2025) shows adoption has broadened since the previous analysis.1 Across visits in all clinics, only about 1% included a CT/NG test, while the top-decile clinics test in roughly 4–5% of …

The Scale of Orthopedic Urgent Care

As of August 12, 2025, there are 726 orthopedic urgent care (OUC) rooftops in the United States, according to National Urgent Care Realty and Urgent Care Consultants. Based on centers added since January 1, 2025, the estimated annual rooftop growth for 2025 is 10.9%. The charts highlight the market’s structure: Most sites operate without hospital affiliation, and OUC is largely a scaled, multisite business rather than single-location clinics. Only 9% of OUC rooftops are single …

Credit Card on File Speeds Collections, Decreases Bad Debt

The credit-card-on-file practice requires a patient’s credit card at the time of service, which is used to cover balances after an insurance claim adjudicates. In addition to increasing total collections, charging the card on file also enables an urgent care to capture payments more quickly than time-consuming and costly collection efforts, such as mailing statements. In an Experity analysis of 392,699 comparable Blue Cross Blue Shield urgent care visits in 2024, 80% of patient responsibility …

Pediatric Populations Represent 29% of Urgent Care Patients

Over the 12-month period ending June 15, 2025, 29% of urgent care patients were children and young adults aged 21 years or younger, while 71% were patients aged 22 years or older, according to an exclusive analysis of 35 million patient visits recorded in the Experity EMR. Further, the chart demonstrates the age breakdown of the population of children and young adults who visited urgent care. This analysis omits visits for employer-paid services and workers …

Northeast Leads in Lyme-Related Diagnoses in Urgent Care

In the United States, 8 common species of ticks exist in different geographies that present risk of transmitting more than 10 different types of diseases. According to data from the Centers for Disease Control and Prevention, the most common ticks associated with human disease transmission in the United States are the American dog tick (Dermacentor variabilis, or D. similis), also known as a “wood tick,” and the blacklegged tick (Ixodes scapularis), commonly referred to as …

Patient Credit Card on File Increases Payments by 20%

Just as hotels require a credit card to cover any “incidentals,” urgent care is increasingly pre-authorizing patient credit cards at the time of service to cover any patient balances after their insurance claims adjudicate. Patient balances are often attributed to deductibles, co-insurance, or eligibility issues that can be difficult to identify at registration. Charging a patient’s credit card when an explanation of benefits is received should, in theory, reduce accounts receivable days, write-offs, and collections …

Diagnostic Lab Test Utilization in Urgent Care

Urgent care has long been defined for its model of “test and treat” for minor, non-chronic health conditions. Patients presenting with symptoms typically receive a rapid, on-site lab test, and based on the results, the provider makes a diagnosis and orders a prescription. It’s a given that lab testing is a defining service and core capability of urgent care centers. Based on 34 million patient charts in Experity EMR from January 1 through December 31, …

Does Urgent Care Require 7-Day Operations?

While patients and payers may expect urgent care to be available 7-days a week, approximately 20% of urgent care centers are closed on Saturdays, and approximately 30% are closed on Sundays, according to a February 2025 analysis of 14,301 centers by National Urgent Care Realty and Urgent Care Consultants. Of the centers open 7 days a week, 24% open and close at the same time every day. Otherwise, centers that are open weekends are likely …

Retail Clinic Rooftops Retreat From 2023 Peak

Between May, 20231 and December, 2024, the number of retail-host clinics in the United States fell 21.7% from 1,750 to 1,370, according to data from National UC Realty. Not only did CVS, Walgreens, and Walmart announce significant clinic closures in 2024, there has been little to no growth among the remaining retail clinic operators. The top 5 retail hosts make up 95% of in-store clinics nationally and only 2% of total clinics are in independent …

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