Is PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC flagged for Medicaid fraud?

PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC (NPI: 1316338619) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC bill Medicaid?

PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC 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 PALM SPRINGS, CA.

What is NPI 1316338619?

NPI 1316338619 is the National Provider Identifier for PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC. They are a Clinic/Center, Urgent Care provider based in PALM SPRINGS, CA. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC

Clinic/Center, Urgent Care·PALM SPRINGS, CA·NPI: 1316338619Share

Active Billing Period:2018-01→2023-02(62 months)

Billing appears to have stoppedLast active: 2023-02

Total Paid

$19.2M

$19,189,753

Total Claims

312K

Beneficiaries

291K

1.1 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018

$4.5M

-25%

2019

$3.3M

-19%

2020

$2.7M

+34%

2021

$3.6M

+30%

2022

$4.7M

-94%

2023

$282K

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 70% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S9083Global fee, urgent care centersSee all providers →

$13.5M

174K claims

$77.59

$103.99

0.7×

Normal range

S9083Normal range

Global fee, urgent care centers

$13.5M

174K claims · 70.3%

Your Cost: $77.59/claim|Median: $103.99

0.7× median

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

$2.5M

65K claims

$38.18

$53.41

0.7×

Normal range

99214Normal range

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

$2.5M

65K claims · 12.9%

Your Cost: $38.18/claim|Median: $53.41

0.7× median

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

$1.4M

20K claims

$70.20

$84.03

0.8×

Normal range

99204Normal range

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

$1.4M

20K claims · 7.4%

Your Cost: $70.20/claim|Median: $84.03

0.8× median

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

$760K

13K claims

$57.01

$57.85

1.0×

Normal range

99203Normal range

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

$760K

13K claims · 4.0%

Your Cost: $57.01/claim|Median: $57.85

1.0× median

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

$757K

32K claims

$23.97

$37.81

0.6×

Normal range

99213Normal range

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

$757K

32K claims · 3.9%

Your Cost: $23.97/claim|Median: $37.81

0.6× median

99215Office/outpatient visit, high complexitySee all providers →

$129K

2,217 claims

$58.37

$74.09

0.8×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$129K

2,217 claims · 0.7%

Your Cost: $58.37/claim|Median: $74.09

0.8× median

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

$65K

1,654 claims

$39.58

$40.11

1.0×

Normal range

99202Normal range

Office/outpatient visit, new patient, low complexity

$65K

1,654 claims · 0.3%

Your Cost: $39.58/claim|Median: $40.11

1.0× median

99212Office/outpatient visit, low complexitySee all providers →

$53K

2,811 claims

$18.78

$25.06

0.7×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$53K

2,811 claims · 0.3%

Your Cost: $18.78/claim|Median: $25.06

0.7× median

99205Office/outpatient visit, new patient, high complexitySee all providers →

$36K

426 claims

$83.83

$111.09

0.8×

Normal range

99205Normal range

Office/outpatient visit, new patient, high complexity

$36K

426 claims · 0.2%

Your Cost: $83.83/claim|Median: $111.09

0.8× median

87426SARS-CoV-2 COVID-19 antigen detection, immunoassaySee all providers →

$4K

297 claims

$14.88

$30.04

0.5×

Normal range

87426Normal range

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

$4K

297 claims · 0.0%

Your Cost: $14.88/claim|Median: $30.04

0.5× median

99211Office/outpatient visit, minimal complexitySee all providers →

$646

43 claims

$15.03

$12.93

1.2×

Normal range

99211Normal range

Office/outpatient visit, minimal complexity

$646

43 claims · 0.0%

Your Cost: $15.03/claim|Median: $12.93

1.2× median

87811SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-readSee all providers →

$567

30 claims

$18.90

$30.53

0.6×

Normal range

87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$567

30 claims · 0.0%

Your Cost: $18.90/claim|Median: $30.53

0.6× median

99401 See all providers →

$76

191 claims

$0.40

$16.53

0.0×

Normal range

99401Normal range

$76

191 claims · 0.0%

Your Cost: $0.40/claim|Median: $16.53

0.0× median

81002Urinalysis, non-automated without microscopySee all providers →

347 claims

$0.01

$2.00

0.0×

Normal range

81002Normal range

Urinalysis, non-automated without microscopy

347 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.00

0.0× median

J2405Injection, ondansetron HCl, per one milligramSee all providers →

18 claims

$0.00

$0.58

—

Normal range

J2405Normal range

Injection, ondansetron HCl, per one milligram

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.58

J0696 See all providers →

31 claims

$0.00

$1.34

—

Normal range

J0696Normal range

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.34

J1100 See all providers →

46 claims

$0.00

$0.52

—

Normal range

J1100Normal range

46 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.52

94640Pressurized or nonpressurized inhalation treatmentSee all providers →

44 claims

$0.00

$10.88

—

Normal range

94640Normal range

Pressurized or nonpressurized inhalation treatment

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.88

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

12 claims

$0.00

$12.06

—

Normal range

73630Normal range

X-ray, foot, complete, minimum 3 views

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.06

81025Urine pregnancy testSee all providers →

77 claims

$0.00

$4.81

—

Normal range

81025Normal range

Urine pregnancy test

77 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81

J1885Injection, ketorolac tromethamine, fifteen milligramsSee all providers →

20 claims

$0.00

$0.91

—

Normal range

J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

20 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.91

J7613Albuterol inhalation solution, concentrated, per milligramSee all providers →

43 claims

$0.00

$0.08

—

Normal range

J7613Normal range

Albuterol inhalation solution, concentrated, per milligram

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08

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