Clinic
On Call Urgent Care, LLC
On Call Urgent Care, LLC was paid $3.37M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 39% of everything it billed.
33Billing provider infoON CALL URGENT CARE, LLC
NORTHAMPTON, MA 01060
NORTHAMPTON, MA 01060
33aNPI1447495494assigned 12/04/2008
33bProvider typeUrgent Care Clinic/Center
28Total paid$3.37M
24GClaims93,064
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Massachusetts
Rank by total paid#5 of 117
Median peer was paid$225K
This provider vs. median15×
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 | 25,353 | $837K | |
| 2019 | 23,812 | $787K | |
| 2020 | 15,824 | $564K | |
| 2021 | 7,374 | $325K | |
| 2022 | 7,869 | $356K | |
| 2023 | 8,619 | $338K | |
| 2024incomplete | 4,213 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 39% | 35,502 | 25,247 | $1.32M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 24,926 | 17,468 | $1.05M |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 18% | 19,084 | 12,781 | $592K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.1% | 2,488 | 1,903 | $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 | 3.9% | 1,804 | 1,552 | $131K |
| 81025 | <1% | 4,392 | 3,644 | $25K | |
| 84460 | <1% | 2,126 | 2,102 | $6K | |
| 84450 | <1% | 2,144 | 2,119 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 246 | 239 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 313 | 311 | $498.20 |
| ATP02 | <1% | 26 | 26 | $80.55 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 0% | 13 | 13 | $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 officialDURKIN, LOUIS (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Emergency Medicine Solutions, LLC | Springfield, MA | $2.65M |
| On Call Urgent Care LLC | Northampton, MA | $116K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.