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

Garnet Health Urgent Care PC

Garnet Health Urgent Care PC was paid $7.40M by Medicaid between Jan 2019 and Dec 2024, across 20 billing codes. Its largest line is S9083, Global fee urgent care centers — 95% of everything it billed.

33Billing provider infoGARNET HEALTH URGENT CARE PC
MIDDLETOWN, NY 10940
33aNPI1316446651assigned 02/01/2018
28Total paid$7.40M
24GClaims68,759
24DCodes billed20
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in New York

Rank by total paid#16 of 138
Median peer was paid$576K
This provider vs. median13×

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$100K$200K2018201920202021202220232024
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
20197,270$758K
202012,792$805K
202113,034$1.30M
202211,574$1.42M
202313,429$1.72M
2024incomplete10,660$1.39M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9083 Global fee urgent care centers 95% 56,975 55,955 $7.06M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.9% 2,189 2,189 $138K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.4% 2,127 2,113 $107K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 468 467 $42K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,551 1,551 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 618 606 $7K
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 <1% 928 921 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 765 398 $4K
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% 60 60 $4K
71046 Radiologic examination, chest; 2 views <1% 156 156 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 639 636 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 52 52 $1K
8 more codes
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 140 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 26 $1K
87081 <1% 329 $607.46
73110 <1% 12 $257.18
73630 <1% 13 $20.32
87086 Culture, bacterial; quantitative colony count, urine <1% 24 $16.30
81003 <1% 26 $7.74
99000 0% 1,661 $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 officialMURPHY, PAMELA (PRESIDENT)
Same official

Other billing entities under MURPHY, PAMELA

Full network →
ProviderLocationPaid
Garnet Health Doctors PCMiddletown, NY$4.14M
Garnet Health Doctors PCMiddletown, NY$387K
Garnet Health Doctors PCHarris, NY$263K
P.A.M. Care INC.Orlando, FL$40K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.