Medicaid Provider Spending Explorer

T-MSIS provider-level spending data, Jan 2018 – Dec 2024

Data note: November and December 2024 data may be incomplete due to CMS reporting delays (typically 3–6 months for full coverage). Learn more
← All Procedures

S9083Private Payer

Urgent care center global

Total Paid

$1.08B

$1,076,138,931

Beneficiaries

9.3M

9,314,354

Avg $/Claim

$102

Median: $118

Utilization

1.1 claims/bene

1,778 providers

Top Providers for This Procedure

Each dot is a provider. X = cost index (vs procedure median). Y = total spending.

Drag to zoom into a region

Provider Rankings

#ProviderStateTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1
1730491945

CITY MEDICAL OF UPPER EAST SIDE, PLLC

NY$135.4M$156vs $118 med1.33x868,497793,406
2
1023379815

BROCK MEDICAL, LLC

KY$34.5M$103vs $118 med0.88x333,029299,717
3
1295001576

COMMUNITY URGENT CARE PC

NY$32.4M$112vs $118 med0.95x289,398233,609
4
1053729814

ON DEMAND URGENT CARE GROUP PC

PA$25.1M$120vs $118 med1.02x208,954201,928
5
1962963199

LEHIGH VALLEY PHYSICIAN GROUP

PA$20.6M$114vs $118 med0.97x180,665172,535
6
1669825162

WELLNOW URGENT CARE, PC

NY$19.2M$112vs $118 med0.96x171,131168,534
7
1497113666

EVEREST URGENT CARE

PA$16.9M$111vs $118 med0.95x151,562102,079
8
1912133315

URGENT CARE, INC.- WEST VIRGINIA

WV$16.4M$89vs $118 med0.76x183,821164,812
9
1992746879

AFTER HOURS PEDIATRICS, INC.

FL$16.3M$134vs $118 med1.14x121,023104,818
10
1194039560

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC

VA$14.6M$131vs $118 med1.12x111,184105,928
11
1902128721

PENNSYLVANIA URGENT CARE CENTERS, PLLC

PA$14.4M$102vs $118 med0.87x140,898129,638
12
1902080005

PATIENT FIRST MARYLAND MEDICAL GROUP PLLC

MD$14.1M$139vs $118 med1.18x101,58182,926
13
1316338619

PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC

CA$13.5M$78vs $118 med0.66x173,765160,993
14
1962423632

PATIENT FIRST MARYLAND MEDICAL GROUP, PLLC

VA$13.3M$87vs $118 med0.74x152,530119,475
15
1306238647

PM PEDIATRICS OF MARYLAND

MD$13.2M$103vs $118 med0.88x127,751112,478
16
1861700353

PM PEDIATRICS OF BAYSIDE, PLLC

NY$13.1M$122vs $118 med1.04x107,349104,309
17
1932590601

MODERN PHYSICIAN SERVICES PC

NY$11.4M$117vs $118 med0.99x97,49787,208
18
1982786620

COMPRE HENSIVE PRIMARY CARE MEDICAL ASSOCIATES, INC

CA$10.5M$99vs $118 med0.84x105,46896,060
19
1164494068

PRIMAMED PHYSICIANS PLLC

TX$9.3M$104vs $118 med0.88x89,80581,597
20
1497159560

DIVINITY MEDICAL SERVICES PLLC

NY$9.2M$88vs $118 med0.75x104,67895,474
21
1598059776

PEDIATRIC URGENT CARE PA

TX$9.1M$93vs $118 med0.79x97,91584,867
22
1194293647

TOWER HEALTH URGENT CARE, LLC

PA$8.9M$109vs $118 med0.93x82,06879,962
23
1467584425

DESERT VIP URGENT CARE

CA$8.2M$113vs $118 med0.96x72,79065,952
24
1205105004

BP IMMEDIATE MEDICAL CARE, PC

NY$8.0M$99vs $118 med0.84x81,53672,495
25
1841607298

ESSEN MEDICAL URGICARE, PLLC

NY$8.0M$68vs $118 med0.58x118,74897,978

50 rows · Page 1 of 2

State Breakdown

Each dot is a state. X = average cost per claim. Y = total spending.

Drag to zoom into a region

State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1NY$339.0M$1222,779,9642,481,581202
2PA$230.0M$1102,084,2331,926,111407
3MD$128.3M$1241,036,082873,87172
4CA$83.2M$711,177,1921,084,037140
5FL$68.7M$88780,616605,749132
6NJ$41.4M$91457,430393,92385
7KY$34.5M$103334,647301,09728
8VA$30.6M$104293,348252,47221
9TX$24.7M$99249,707222,49730
10WV$16.4M$89183,821164,8121
11DE$13.8M$75183,487150,83923
12PR$9.9M$38259,619218,06248
13MA$8.8M$12869,22067,310256
14AL$8.4M$11871,20863,75318
15NM$6.8M$48140,238135,55012
16MO$6.6M$9768,20166,06718
17LA$5.6M$10652,61945,29838
18TN$4.8M$7168,30862,16718
19AZ$3.2M$8537,69233,1773
20NC$1.7M$7323,20217,4488
21GA$1.3M$7916,48315,35023
22NV$618K$5611,11410,40610
23SC$442K$1303,3893,1824
24OH$439K$2022,05920,4978
25MI$425K$1528,42326,40560

41 rows · Page 1 of 2