Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PREMIUM URGENT CARE, INC.

NPI: 1104296888 · LOS BANOS, CA 93635 · Urgent Care Clinic/Center · NPI assigned 10/07/2015

$58K
Total Medicaid Paid
1,330
Total Claims
1,258
Beneficiaries
5
Codes Billed
2021-09
First Month
2023-05
Last Month

Provider Details

Authorized OfficialGREEN, ERICK (OWNER)
NPI Enumeration Date10/07/2015

Related Entities

Other providers sharing the same authorized official: GREEN, ERICK

ProviderCityStateTotal Paid
PREMIUM URGENT CARE, INC. CLOVIS CA $124K
PREMIUM URGENT CARE, INC. FRESNO CA $49K
PREMIUM URGENT CARE, INC. CLOVIS CA $7K
PREMIUM URGENT CARE, INC. SELMA CA $5K
PREMIUM URGENT CARE INC FRESNO CA $452.48
PREMIUM URGENT CARE, INC. FRESNO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 294 $14K
2022 673 $30K
2023 363 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 330 330 $19K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 432 401 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 191 190 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 288 253 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 89 84 $3K