PPNS

PPNS was paid $5.09M by Medicaid between Jan 2020 and Dec 2023, across 18 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 32% of everything it billed.

Compared with peers

Next to other Urgent Care Clinic/Center providers in Maryland

Rank by total paid#18 of 114

Median peer was paid$654K

This provider vs. median7.8×

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
2020	12,958	$825K
2021	56,953	$2.68M
2022	33,198	$1.32M
2023	5,710	$264K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	32%	27,237	18,469	$1.62M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	24%	16,668	13,729	$1.22M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	17,540	12,582	$1.12M
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	8.1%	13,080	10,022	$414K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.1%	5,773	4,125	$258K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	4.5%	4,211	3,529	$229K
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	1.5%	703	549	$78K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	898	692	$39K
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	<1%	403	312	$38K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	565	514	$21K
S9088	Services provided in an urgent care center (list in addition to code for service)	<1%	1,887	1,356	$20K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	363	262	$14K

6 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,791	$12K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	871	$6K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	16,164	$4K
87807		<1%	250	$2K
S9083	Global fee urgent care centers	<1%	240	$982.50
81002		<1%	175	$166.30

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 officialCROSLEY, PASCAL (CEO)