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APPLE URGENT CARE, INC

Clinic/Center, Urgent Care·HEMET, CA·NPI: 1316005572Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.3M

$20,290,711

Total Claims

563K

Beneficiaries

536K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-15%
2019
$2.0M
-34%
2020
$1.3M
+61%
2021
$2.1M
+25%
2022
$2.6M
+79%
2023
$4.7M
+12%
2024
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 47% of total spending.

99214Normal range

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

$9.6M

249K claims · 47.1%

Your Cost: $38.45/claim|Median: $53.41
0.7× median
99203Normal range

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

$7.1M

120K claims · 34.8%

Your Cost: $58.85/claim|Median: $57.85
1.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$2.8M

44K claims · 14.0%

Your Cost: $64.31/claim|Median: $40.11
1.6× median
S9083Normal range

Global fee, urgent care centers

$225K

13K claims · 1.1%

Your Cost: $17.47/claim|Median: $103.99
0.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$143K

3,942 claims · 0.7%

Your Cost: $36.25/claim|Median: $33.72
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$139K

3,630 claims · 0.7%

Your Cost: $38.34/claim|Median: $36.70
1.0× median
99213Normal range

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

$92K

5,502 claims · 0.5%

Your Cost: $16.71/claim|Median: $37.81
0.4× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$48K

3,653 claims · 0.2%

Your Cost: $13.12/claim|Median: $34.62
0.4× median
0004ANormal range

$36K

915 claims · 0.2%

Your Cost: $39.07/claim|Median: $35.62
1.1× median
G2023Normal range

Specimen collection for COVID-19 testing

$30K

20K claims · 0.1%

Your Cost: $1.51/claim|Median: $17.15
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$20K

16K claims · 0.1%

Your Cost: $1.24/claim|Median: $9.56
0.1× median
0071ANormal range

$18K

461 claims · 0.1%

Your Cost: $39.72/claim|Median: $38.71
1.0× median
0072ANormal range

$17K

433 claims · 0.1%

Your Cost: $39.91/claim|Median: $39.57
1.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$7K

35K claims · 0.0%

Your Cost: $0.19/claim|Median: $2.00
0.1× median
87800Normal range

$7K

5,113 claims · 0.0%

Your Cost: $1.27/claim|Median: $29.47
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$5K

162 claims · 0.0%

Your Cost: $30.66/claim|Median: $33.85
0.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$5K

4,283 claims · 0.0%

Your Cost: $1.09/claim|Median: $30.04
0.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$5K

4,543 claims · 0.0%

Your Cost: $0.99/claim|Median: $10.88
0.1× median
J1100Normal range

$4K

4,894 claims · 0.0%

Your Cost: $0.92/claim|Median: $0.52
1.8× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$4K

1,607 claims · 0.0%

Your Cost: $2.60/claim|Median: $39.63
0.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$3K

5,549 claims · 0.0%

Your Cost: $0.63/claim|Median: $0.91
0.7× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$3K

193 claims · 0.0%

Your Cost: $16.93/claim|Median: $25.93
0.7× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$3K

87 claims · 0.0%

Your Cost: $37.24/claim|Median: $36.49
1.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$3K

1,317 claims · 0.0%

Your Cost: $2.45/claim|Median: $9.70
0.3× median
69210Normal range

$3K

2,157 claims · 0.0%

Your Cost: $1.39/claim|Median: $21.74
0.1× median
81025Normal range

Urine pregnancy test

$3K

4,265 claims · 0.0%

Your Cost: $0.61/claim|Median: $4.81
0.1× median
J0696Normal range

$1K

2,424 claims · 0.0%

Your Cost: $0.57/claim|Median: $1.34
0.4× median
82962Normal range

Blood glucose test by monitoring device

$1K

2,683 claims · 0.0%

Your Cost: $0.42/claim|Median: $1.40
0.3× median
85018Normal range

$690

1,470 claims · 0.0%

Your Cost: $0.47/claim|Median: $1.71
0.3× median
99070Normal range

$541

1,124 claims · 0.0%

Your Cost: $0.48/claim|Median: $8.08
0.1× median
99000Normal range

$353

487 claims · 0.0%

Your Cost: $0.72/claim|Median: $2.30
0.3× median
90714Normal range

Td vaccine

$251

86 claims · 0.0%

Your Cost: $2.92/claim|Median: $13.20
0.2× median
J2405Normal range

Injection, ondansetron HCl, per one milligram

$167

538 claims · 0.0%

Your Cost: $0.31/claim|Median: $0.58
0.5× median
87086Normal range

Urine culture, colony count, with identification

$117

400 claims · 0.0%

Your Cost: $0.29/claim|Median: $5.31
0.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$82

210 claims · 0.0%

Your Cost: $0.39/claim|Median: $111.09
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$69

29 claims · 0.0%

Your Cost: $2.37/claim|Median: $12.93
0.2× median
92081Normal range

$60

49 claims · 0.0%

Your Cost: $1.22/claim|Median: $11.63
0.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$51

88 claims · 0.0%

Your Cost: $0.58/claim|Median: $9.80
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$44

1,355 claims · 0.0%

Your Cost: $0.03/claim|Median: $74.82
0.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$24

647 claims · 0.0%

Your Cost: $0.04/claim|Median: $11.48
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$0

263 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.71
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$0

53 claims · 0.0%

Your Cost: $0.00/claim|Median: $79.89
99394Normal range

Preventive medicine, established patient, age 12-17

$0

840 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.15
88141Normal range

$0

111 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.87
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$0

328 claims · 0.0%

Your Cost: $0.00/claim|Median: $83.63
65205Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.91
99392Normal range

Preventive medicine, established patient, age 1-4

$0

327 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
99385Normal range

Preventive visit, new patient, 18-39 yr

$0

136 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.22
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$0

317 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.92
10060Normal range

Incision and drainage of abscess, simple

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.72

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