Physician
Prestige Medical Clinic and Urgent Care INC
Prestige Medical Clinic and Urgent Care INC was paid $93K by Medicaid between Apr 2022 and Nov 2024, across 13 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 56% of everything it billed.
33Billing provider infoPRESTIGE MEDICAL CLINIC AND URGENT CARE INC
POMONA, CA 91767
POMONA, CA 91767
33aNPI1801444708assigned 09/03/2019
33bProvider typeFamily Medicine Physician
28Total paid$93K
24GClaims5,130
24DCodes billed13
24AFirst – last monthApr 2022 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#652 of 2,511
Median peer was paid$13K
This provider vs. median7.2×
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 | |
|---|---|---|---|
| 2022 | 14 | $211.89 | |
| 2023 | 478 | $9K | |
| 2024incomplete | 4,638 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 56% | 1,184 | 1,164 | $52K |
| 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 | 28% | 1,093 | 958 | $25K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.7% | 443 | 425 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 49 | 49 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 313 | 270 | $2K |
| 99000 | 2.0% | 959 | 902 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 586 | 553 | $568.65 |
| 81002 | <1% | 207 | 199 | $565.17 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 117 | 116 | $560.69 |
| 93000 | <1% | 16 | 15 | $395.74 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 54 | 52 | $320.79 |
| 81025 | <1% | 95 | 91 | $277.30 |
1 more codes
| 81005 | <1% | 14 | $7.00 |
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 officialODURO-BURTON, EMY (CEO)