Clinic
Pine Knob Urgent Care PLLC
Pine Knob Urgent Care PLLC was paid $1.33M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPINE KNOB URGENT CARE PLLC
CLARKSTON, MI 48346
CLARKSTON, MI 48346
33aNPI1144694571assigned 11/23/2015
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.33M
24GClaims40,085
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Michigan
Rank by total paid#54 of 239
Median peer was paid$346K
This provider vs. median3.8×
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 | 4,647 | $133K | |
| 2019 | 4,637 | $145K | |
| 2020 | 5,215 | $134K | |
| 2021 | 7,448 | $220K | |
| 2022 | 6,967 | $256K | |
| 2023 | 6,583 | $243K | |
| 2024incomplete | 4,588 | $200K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 10,962 | 10,046 | $520K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 4,026 | 3,998 | $238K |
| 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 | 13% | 2,830 | 2,716 | $177K |
| 99058 | 6.6% | 1,507 | 1,350 | $88K | |
| 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 | 5.0% | 785 | 780 | $67K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.8% | 2,500 | 2,362 | $63K |
| 87428 | 2.4% | 1,330 | 1,295 | $31K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.1% | 759 | 754 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 918 | 848 | $25K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 3,220 | 3,033 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,204 | 1,173 | $13K |
| 87430 | <1% | 1,433 | 1,404 | $11K |
15 more codes
| 99000 | <1% | 1,669 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 864 | $10K |
| S9083 | Global fee urgent care centers | <1% | 176 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 259 | $8K |
| 87400 | <1% | 361 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,741 | $2K |
| 87807 | <1% | 203 | $1K | |
| 81002 | <1% | 530 | $1K | |
| 99072 | <1% | 1,378 | $975.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 694 | $963.64 |
| 81003 | <1% | 601 | $794.77 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 35 | $452.64 |
| 36415 | Collection of venous blood by venipuncture | <1% | 45 | $97.20 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 13 | $71.45 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 42 | $0.34 |
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 officialBONZHEIM, SCOTT (PARTNER)