Physician
Somerset Urgent Care PLLC
Somerset Urgent Care PLLC was paid $100K by Medicaid between May 2020 and Dec 2024, across 19 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 30% of everything it billed.
33Billing provider infoSOMERSET URGENT CARE PLLC
TROY, MI 48084
TROY, MI 48084
33aNPI1124461702assigned 04/12/2013
33bProvider typeFamily Medicine Physician
28Total paid$100K
24GClaims3,167
24DCodes billed19
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#409 of 826
Median peer was paid$98K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,145 | $32K | |
| 2021 | 1,506 | $46K | |
| 2022 | 250 | $11K | |
| 2023 | 184 | $9K | |
| 2024incomplete | 82 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 30% | 510 | 499 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 495 | 463 | $25K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 15% | 536 | 501 | $15K |
| 0012A | 8.0% | 207 | 207 | $8K | |
| 0011A | 6.3% | 227 | 227 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.2% | 34 | 34 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.8% | 39 | 38 | $3K |
| 87428 | 2.0% | 65 | 64 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.6% | 34 | 32 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 34 | 34 | $1K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.2% | 417 | 385 | $1K |
| 99000 | 1.2% | 141 | 139 | $1K |
7 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialEL-ACHKAR, SAMAR (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Somerset Urgent Care PLLC | Troy, MI | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.