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      <submissionType>144</submissionType>
      <filerInfo>
        <filer>
          <filerCredentials>
            <cik>0001555694</cik>
            <ccc>XXXXXXXX</ccc>
          </filerCredentials>
        </filer>
        <liveTestFlag>LIVE</liveTestFlag>
  
  
      </filerInfo>
    </headerData>
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      <issuerInfo>
        <issuerCik>0001550695</issuerCik>
        <issuerName>Performant Healthcare Inc</issuerName>
        <secFileNumber>001-35628</secFileNumber>
        <issuerAddress>
          <com:street1>4309 HACIENDA DR</com:street1>
          <com:street2>SUITE 110</com:street2>
          <com:city>PLEASANTON</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>94588</com:zipCode>
        </issuerAddress>
        <issuerContactPhone>925-960-4800</issuerContactPhone>
        <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Im Lisa</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
        <relationshipsToIssuer>
          <relationshipToIssuer>Director</relationshipToIssuer>
        </relationshipsToIssuer>
      </issuerInfo>
      <securitiesInformation>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Fidelity Brokerage Services LLC</name>
          <address>
            <com:street1>245 Summer Street</com:street1>
            <com:city>Boston</com:city>
            <com:stateOrCountry>MA</com:stateOrCountry>
            <com:zipCode>02110</com:zipCode>
          </address>
        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>6154</noOfUnitsSold>
        <aggregateMarketValue>20051.00</aggregateMarketValue>
        <noOfUnitsOutstanding>78291364</noOfUnitsOutstanding>
        <approxSaleDate>12/10/2024</approxSaleDate>
        <securitiesExchangeName>NASDAQ</securitiesExchangeName>
      </securitiesInformation>
      <securitiesToBeSold>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>04/23/2013</acquiredDate>
        <natureOfAcquisitionTransaction>Exercise and Hold</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>PERFORMANT FINANCIAL</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>6154</amountOfSecuritiesAcquired>
        <paymentDate>04/23/2013</paymentDate>
        <natureOfPayment>cash</natureOfPayment>
      </securitiesToBeSold>
      <nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</nothingToReportFlagOnSecuritiesSoldInPast3Months>
      <noticeSignature>
        <noticeDate>12/10/2024</noticeDate>
        <planAdoptionDates>
          <planAdoptionDate>09/05/2024</planAdoptionDate>
        </planAdoptionDates>
        <signature>/s/ Audrey Skillern as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Lisa Im</signature>
      </noticeSignature>
    </formData>
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text: 144
  0001555694
  XXXXXXXX
  LIVE
  0001550695
  Performant Healthcare Inc
  001-35628
  4309 HACIENDA DR
  SUITE 110
  PLEASANTON
  CA
  94588
  925-960-4800
  Im Lisa
  Director
  Common Stock
  Fidelity Brokerage Services LLC
  245 Summer Street
  Boston
  MA
  02110
  6154
  20051.00
  78291364
  12/10/2024
  NASDAQ
  Common
  04/23/2013
  Exercise and Hold
  PERFORMANT FINANCIAL
  N
  6154
  04/23/2013
  cash
  Y
  12/10/2024
  09/05/2024
  /s/ Audrey Skillern as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Lisa Im