Physician
PRN Clinic Urgent Care, PLLC
PRN Clinic Urgent Care, PLLC was paid $1.53M by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 36% of everything it billed.
33Billing provider infoPRN CLINIC URGENT CARE, PLLC
SAGINAW, MI 48602
SAGINAW, MI 48602
33aNPI1811273295assigned 10/28/2011
33bProvider typeFamily Medicine Physician
28Total paid$1.53M
24GClaims21,814
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#89 of 826
Median peer was paid$98K
This provider vs. median16×
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 | 2,873 | $227K | |
| 2019 | 2,851 | $315K | |
| 2020 | 3,130 | $221K | |
| 2021 | 4,038 | $239K | |
| 2022 | 5,092 | $311K | |
| 2023 | 3,736 | $206K | |
| 2024incomplete | 94 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 36% | 5,602 | 2,377 | $555K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 4,955 | 3,387 | $360K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 18% | 6,023 | 2,590 | $270K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.0% | 2,469 | 1,462 | $122K |
| 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 | 7.5% | 1,434 | 966 | $114K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.1% | 933 | 678 | $93K |
| 99443 | <1% | 94 | 60 | $10K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 76 | 61 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $2K |
| 81025 | <1% | 91 | 83 | $552.69 | |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | 0% | 96 | 82 | $0.00 |
| G2068 | Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | 0% | 29 | 27 | $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 officialCARTHRON, JAMES (OWNER)