Clinic
Downriver Urgent Care PLLC
Downriver Urgent Care PLLC was paid $400K by Medicaid between Jan 2018 and Jan 2021, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoDOWNRIVER URGENT CARE PLLC
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
33aNPI1144301003assigned 10/18/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$400K
24GClaims6,996
24DCodes billed11
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Urgent Care Clinic/Center providers in Michigan
Rank by total paid#112 of 239
Median peer was paid$346K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2018 | 3,188 | $176K | |
| 2019 | 2,606 | $153K | |
| 2020 | 1,166 | $68K | |
| 2021 | 36 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 81% | 4,816 | 4,322 | $325K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 929 | 880 | $59K |
| 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 | 1.1% | 49 | 49 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 561 | 538 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 52 | 52 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 129 | 129 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 156 | 153 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 167 | 160 | $190.65 |
| 81002 | <1% | 107 | 102 | $110.48 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 16 | 16 | $108.52 |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | 13 | $16.20 |
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 officialALJARRAH, MOHAMAD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Sterling Heights Urgent Care,p.L.L.C | Sterling Heights, MI | $2.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.