Clinic
Smoky Mountain Urgent Care PC
Smoky Mountain Urgent Care PC was paid $113K by Medicaid between Oct 2022 and Dec 2024, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoSMOKY MOUNTAIN URGENT CARE PC
FRANKLIN, NC 28734
FRANKLIN, NC 28734
33aNPI1134791676assigned 07/14/2021
33bProvider typeRural Health Clinic/Center
28Total paid$113K
24GClaims3,902
24DCodes billed10
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in North Carolina
Rank by total paid#39 of 65
Median peer was paid$156K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 742 | $16K | |
| 2023 | 1,603 | $38K | |
| 2024incomplete | 1,557 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 77% | 1,561 | 1,063 | $86K |
| 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 | 16% | 503 | 276 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 98 | 58 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.4% | 134 | 85 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 304 | 96 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 272 | 245 | $33.42 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 487 | 333 | $0.00 |
| 3078F | 0% | 35 | 34 | $0.00 | |
| 1000F | 0% | 473 | 322 | $0.00 | |
| 3074F | 0% | 35 | 34 | $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 officialCASTOR, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Smoky Mountain Urgent Care PC | Bryson City, NC | $4.16M |
| Smoky Mountain Urgent Care PC | Bryson City, NC | $200K |
| RHC Group PLLC | Greenbrier, TN | $159K |
| Smoky Mountain Urgent Care PC | Bryson City, NC | $100K |
| Smoky Mountain Urgent Care PC | Robbinsville, NC | $33K |
| Palmetto Assisted Living Medical Group PC | Hilton Head, SC | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.