Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Hartselle › NPI 1154750073
Physician

Community Urgent Care of Hartselle, INC.

Community Urgent Care of Hartselle, INC. was paid $472K by Medicaid between Jan 2018 and Oct 2020, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoCOMMUNITY URGENT CARE OF HARTSELLE, INC.
HARTSELLE, AL 35640
33aNPI1154750073assigned 11/01/2013
28Total paid$472K
24GClaims12,531
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers

Next to other Family Medicine Physician providers in Alabama

Rank by total paid#82 of 455
Median peer was paid$57K
This provider vs. median8.3×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20184,931$165K
20194,864$180K
20202,736$127K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 48% 3,533 3,192 $226K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 2,859 2,606 $138K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.1% 411 339 $29K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.9% 235 221 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.9% 1,352 1,181 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.8% 1,176 1,090 $13K
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 1.3% 60 49 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.2% 1,199 892 $6K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 276 249 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 406 380 $2K
71046 Radiologic examination, chest; 2 views <1% 56 55 $547.13
83036 Hemoglobin; glycosylated (A1C) <1% 76 73 $540.00
7 more codes
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 293 $430.78
36415 Collection of venous blood by venipuncture <1% 288 $394.00
99000 <1% 86 $290.50
81003 <1% 152 $285.46
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 14 $213.46
82962 <1% 44 $78.00
90756 0% 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 officialWEATHERLY, JESSE (SECRETARY/TREASURER)