Is ON DEMAND URGENT CARE GROUP PC flagged for Medicaid fraud?

ON DEMAND URGENT CARE GROUP PC (NPI: 1053729814) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ON DEMAND URGENT CARE GROUP PC bill Medicaid?

ON DEMAND URGENT CARE GROUP PC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Urgent Care provider. Located in PHILADELPHIA, PA.

What is NPI 1053729814?

NPI 1053729814 is the National Provider Identifier for ON DEMAND URGENT CARE GROUP PC. They are a Clinic/Center, Urgent Care provider based in PHILADELPHIA, PA. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

ON DEMAND URGENT CARE GROUP PC

Clinic/Center, Urgent Care·PHILADELPHIA, PA·NPI: 1053729814Share

Active Billing Period:2019-10→2024-12(60 months)

Total Paid

$25.5M

$25,460,481

Total Claims

220K

Beneficiaries

212K

1.0 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2019

$5K

+18948%

2020

$1.0M

+357%

2021

$4.7M

+6%

2022

$4.9M

+47%

2023

$7.2M

+5%

2024

$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 99% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S9083Global fee, urgent care centersSee all providers →

$25.1M

209K claims

$120.32

$103.99

1.2×

Normal range

S9083Normal range

Global fee, urgent care centers

$25.1M

209K claims · 98.7%

Your Cost: $120.32/claim|Median: $103.99

1.2× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$109K

2,236 claims

$48.88

$57.85

0.8×

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$109K

2,236 claims · 0.4%

Your Cost: $48.88/claim|Median: $57.85

0.8× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$58K

2,139 claims

$27.20

$37.81

0.7×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$58K

2,139 claims · 0.2%

Your Cost: $27.20/claim|Median: $37.81

0.7× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$44K

1,362 claims

$32.45

$53.41

0.6×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$44K

1,362 claims · 0.2%

Your Cost: $32.45/claim|Median: $53.41

0.6× median

0011ACOVID-19 vaccine admin, Moderna, 1st doseSee all providers →

$27K

824 claims

$32.55

$25.93

1.3×

Normal range

0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$27K

824 claims · 0.1%

Your Cost: $32.55/claim|Median: $25.93

1.3× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$24K

540 claims

$44.80

$84.03

0.5×

Normal range

99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$24K

540 claims · 0.1%

Your Cost: $44.80/claim|Median: $84.03

0.5× median

0012ACOVID-19 vaccine admin, Moderna, 2nd doseSee all providers →

$23K

738 claims

$30.54

$33.85

0.9×

Normal range

0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$23K

738 claims · 0.1%

Your Cost: $30.54/claim|Median: $33.85

0.9× median

G9012Other specified case management service, per 15 minutesSee all providers →

$16K

57 claims

$277.22

$137.85

2.0×

Top 25%

G9012Top 25%

Other specified case management service, per 15 minutes

$16K

57 claims · 0.1%

Your Cost: $277.22/claim|Median: $137.85

2.0× median

71046Chest X-ray, 2 viewsSee all providers →

$8K

347 claims

$23.37

$8.92

2.6×

Top 25%

71046Top 25%

Chest X-ray, 2 views

$8K

347 claims · 0.0%

Your Cost: $23.37/claim|Median: $8.92

2.6× median

0064A See all providers →

$6K

252 claims

$23.81

$34.17

0.7×

Normal range

0064ANormal range

$6K

252 claims · 0.0%

Your Cost: $23.81/claim|Median: $34.17

0.7× median

94640Pressurized or nonpressurized inhalation treatmentSee all providers →

$1K

125 claims

$8.96

$10.88

0.8×

Normal range

94640Normal range

Pressurized or nonpressurized inhalation treatment

$1K

125 claims · 0.0%

Your Cost: $8.96/claim|Median: $10.88

0.8× median

81003Urinalysis, automated without microscopySee all providers →

$810

585 claims

$1.38

$1.48

0.9×

Normal range

81003Normal range

Urinalysis, automated without microscopy

$810

585 claims · 0.0%

Your Cost: $1.38/claim|Median: $1.48

0.9× median

90686Influenza virus vaccine, quadrivalent, preservative-free, IMSee all providers →

$576

102 claims

$5.65

$7.18

0.8×

Normal range

90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$576

102 claims · 0.0%

Your Cost: $5.65/claim|Median: $7.18

0.8× median

99202Office/outpatient visit, new patient, low complexitySee all providers →

$514

13 claims

$39.54

$40.11

1.0×

Normal range

99202Normal range

Office/outpatient visit, new patient, low complexity

$514

13 claims · 0.0%

Your Cost: $39.54/claim|Median: $40.11

1.0× median

81025Urine pregnancy testSee all providers →

$440

263 claims

$1.67

$4.81

0.3×

Normal range

81025Normal range

Urine pregnancy test

$440

263 claims · 0.0%

Your Cost: $1.67/claim|Median: $4.81

0.3× median

73630X-ray, foot, complete, minimum 3 viewsSee all providers →

$239

12 claims

$19.95

$12.06

1.7×

Normal range

73630Normal range

X-ray, foot, complete, minimum 3 views

$239

12 claims · 0.0%

Your Cost: $19.95/claim|Median: $12.06

1.7× median

99000 See all providers →

$212

1,011 claims

$0.21

$2.30

0.1×

Normal range

99000Normal range

$212

1,011 claims · 0.0%

Your Cost: $0.21/claim|Median: $2.30

0.1× median

10060Incision and drainage of abscess, simpleSee all providers →

$165

12 claims

$13.71

$75.72

0.2×

Normal range

10060Normal range

Incision and drainage of abscess, simple

$165

12 claims · 0.0%

Your Cost: $13.71/claim|Median: $75.72

0.2× median

99072 See all providers →

$108

36 claims

$3.00

$0.54

5.6×

Normal range

99072Normal range

$108

36 claims · 0.0%

Your Cost: $3.00/claim|Median: $0.54

5.6× median

87880Streptococcus, Group A, rapid antigen detectionSee all providers →

$76

91 claims

$0.83

$11.48

0.1×

Normal range

87880Normal range

Streptococcus, Group A, rapid antigen detection

$76

91 claims · 0.0%

Your Cost: $0.83/claim|Median: $11.48

0.1× median

87804Influenza virus detection, rapid testSee all providers →

$53

62 claims

$0.85

$12.59

0.1×

Normal range

87804Normal range

Influenza virus detection, rapid test

$53

62 claims · 0.0%

Your Cost: $0.85/claim|Median: $12.59

0.1× median

36415Collection of venous blood by venipunctureSee all providers →

15 claims

$0.00

$1.57

—

Normal range

36415Normal range

Collection of venous blood by venipuncture

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57

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