Clinic
Modesto Urgent Care INC
Modesto Urgent Care INC was paid $3.57M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoMODESTO URGENT CARE INC
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1780816017assigned 08/20/2009
33bProvider typeUrgent Care Clinic/Center
28Total paid$3.57M
24GClaims77,816
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#40 of 284
Median peer was paid$147K
This provider vs. median24×
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 | 7,075 | $422K | |
| 2019 | 9,385 | $417K | |
| 2020 | 9,325 | $372K | |
| 2021 | 8,263 | $392K | |
| 2022 | 14,167 | $634K | |
| 2023 | 15,164 | $693K | |
| 2024incomplete | 14,437 | $643K |
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 | 42% | 30,276 | 26,673 | $1.50M |
| 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 | 27% | 10,651 | 10,613 | $966K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.6% | 4,274 | 4,167 | $271K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 7,206 | 6,778 | $221K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.3% | 5,947 | 5,257 | $189K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 1,930 | 1,927 | $144K |
| Q3014 | Telehealth originating site facility fee | 2.7% | 3,345 | 2,575 | $95K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1.4% | 2,189 | 2,023 | $49K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 2,249 | 2,078 | $35K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,798 | 1,675 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,595 | 1,578 | $14K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 968 | 791 | $13K |
14 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 831 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 969 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 472 | $10K |
| 97597 | <1% | 134 | $7K | |
| 81003 | <1% | 1,697 | $4K | |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 624 | $4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 108 | $3K |
| 86580 | <1% | 302 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 26 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 84 | $1K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 27 | $547.10 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 19 | $109.62 |
| 81025 | <1% | 15 | $52.50 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 80 | $4.08 |
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 officialWU, MIN (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Turlock Urgent Care | Turlock, CA | $10.82M |
| Manteca Urgent Care, INC | Manteca, CA | $4.12M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.