Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Above Urgent Care Center

Above Urgent Care Center was paid $1.97M by Medicaid between Apr 2019 and Nov 2024, across 43 billing codes. Its largest line is 99205, Prolong outpt/office vis — 33% of everything it billed.

33Billing provider infoABOVE URGENT CARE CENTER
MONTCLAIR, CA 91763
33aNPI1215498811assigned 03/27/2019
28Total paid$1.97M
24GClaims62,326
24DCodes billed43
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#185 of 988
Median peer was paid$32K
This provider vs. median62×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20199,738$309K
202013,696$442K
202113,147$549K
20229,761$173K
20238,925$225K
2024incomplete7,059$268K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99205 Prolong outpt/office vis 33% 8,737 8,692 $650K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 20% 7,211 6,427 $399K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14% 5,539 5,387 $283K
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 9.8% 3,984 3,964 $192K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.7% 8,380 7,796 $192K
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 5.2% 3,475 3,231 $103K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.9% 1,115 1,111 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.9% 2,073 1,843 $38K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.3% 4,029 3,905 $25K
S9088 Services provided in an urgent care center (list in addition to code for service) <1% 2,979 2,809 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,165 1,650 $8K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 3,386 3,044 $7K
31 more codes
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 261 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 299 $3K
99072 <1% 1,156 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 169 $3K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 169 $2K
99401 <1% 1,469 $2K
81003 <1% 2,139 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 441 $1K
86328 <1% 113 $1K
86769 <1% 113 $968.99
99051 <1% 255 $550.71
96127 <1% 202 $401.87
99070 <1% 104 $278.01
99000 <1% 540 $242.34
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 299 $237.09
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source <1% 49 $203.68
86635 <1% 58 $142.20
A9150 Non-prescription drugs <1% 55 $81.16
J3490 Unclassified drugs <1% 275 $70.19
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 85 $46.36
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 94 $41.50
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 98 $40.97
81002 <1% 214 $36.35
82948 <1% 81 $31.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 128 $7.19
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 224 $4.77
81000 0% 62 $0.00
85018 0% 30 $0.00
99173 0% 39 $0.00
A4550 Surgical trays 0% 15 $0.00
81025 0% 17 $0.00

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 officialVO, DAN (CEO)