Clinic
Rockwall Urgent Care, PLLC
Rockwall Urgent Care, PLLC was paid $361K by Medicaid between Nov 2020 and Nov 2023, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoROCKWALL URGENT CARE, PLLC
ROCKWALL, TX 75032
ROCKWALL, TX 75032
33aNPI1124359732assigned 01/21/2010
33bProvider typeUrgent Care Clinic/Center
28Total paid$361K
24GClaims8,201
24DCodes billed9
24AFirst – last monthNov 2020 – Nov 2023
Compared with peers
Next to other Urgent Care Clinic/Center providers in Texas
Rank by total paid#50 of 151
Median peer was paid$125K
This provider vs. median2.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 151 | $5K | |
| 2021 | 1,400 | $61K | |
| 2022 | 3,632 | $124K | |
| 2023 | 3,018 | $170K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 3,205 | 3,023 | $190K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 31% | 1,880 | 1,817 | $112K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.1% | 379 | 362 | $25K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.9% | 222 | 211 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.0% | 718 | 698 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 1,347 | 1,295 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 388 | 187 | $2K |
| 87428 | <1% | 47 | 38 | $339.67 | |
| 87807 | 0% | 15 | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPIERCE, SCOTT (PRESIDENT)