Clinic
P. Pham and J. Briggs LLC
P. Pham and J. Briggs LLC was paid $2.56M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoP. PHAM AND J. BRIGGS LLC
FREDERICK, MD 21704
FREDERICK, MD 21704
33aNPI1285934570assigned 11/02/2010
33bProvider typeUrgent Care Clinic/Center
28Total paid$2.56M
24GClaims53,883
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Maryland
Rank by total paid#35 of 114
Median peer was paid$654K
This provider vs. median3.9×
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 | 201 | $14K | |
| 2019 | 285 | $10K | |
| 2020 | 10,122 | $347K | |
| 2021 | 12,474 | $673K | |
| 2022 | 17,687 | $789K | |
| 2023 | 8,112 | $463K | |
| 2024incomplete | 5,002 | $263K |
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 | 49% | 12,652 | 9,890 | $1.24M |
| 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% | 3,516 | 2,897 | $345K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,259 | 2,602 | $306K |
| 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 | 11% | 2,467 | 2,188 | $294K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.5% | 5,427 | 4,416 | $217K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 3.7% | 15,429 | 11,431 | $95K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 2,659 | 2,145 | $28K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,957 | 1,164 | $21K |
| 99050 | <1% | 4,792 | 3,792 | $6K | |
| 81002 | <1% | 661 | 592 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | 19 | $335.52 |
| 36415 | Collection of venous blood by venipuncture | <1% | 27 | 26 | $35.85 |
1 more codes
| 81025 | <1% | 12 | $27.36 |
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 officialTHOLEN, MICHAEL (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| PNJ Primary Care LLC | Frederick, MD | $278K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.