Clinic
Express Medicine Urgent Care, INC.
Express Medicine Urgent Care, INC. was paid $495K by Medicaid between Jan 2018 and Jan 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoEXPRESS MEDICINE URGENT CARE, INC.
PLEASANTON, CA 94588
PLEASANTON, CA 94588
33aNPI1578818696assigned 07/14/2012
33bProvider typeUrgent Care Clinic/Center
28Total paid$495K
24GClaims12,165
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#99 of 284
Median peer was paid$147K
This provider vs. median3.4×
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 | 5,284 | $212K | |
| 2019 | 4,168 | $178K | |
| 2020 | 2,666 | $104K | |
| 2022 | 14 | $187.50 | |
| 2023 | 18 | $300.00 | |
| 2024incomplete | 15 | $225.00 |
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 | 76% | 8,773 | 5,688 | $379K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 8.0% | 853 | 842 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 686 | 496 | $20K |
| 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 | 3.4% | 208 | 207 | $17K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.5% | 292 | 288 | $13K |
| 99397 | 2.1% | 230 | 222 | $10K | |
| H0049 | Alcohol and/or drug screening | 1.1% | 333 | 330 | $6K |
| 90688 | <1% | 163 | 162 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 34 | 34 | $1K |
| 99442 | <1% | 44 | 39 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 241 | 235 | $1K |
| 94010 | <1% | 42 | 39 | $1K |
3 more codes
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 officialSUN, CHAO (PRESIDENT/DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Nephrology Associates Medical Group INC | Riverside, CA | $21.81M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.