Clinic
Altacare, LLC
Altacare, LLC was paid $312K by Medicaid between Jul 2018 and Oct 2024, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 49% of everything it billed.
33Billing provider infoALTACARE, LLC
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
33aNPI1154849610assigned 09/05/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$312K
24GClaims4,048
24DCodes billed6
24AFirst – last monthJul 2018 – Oct 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Arizona
Rank by total paid#41 of 81
Median peer was paid$312K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 118 | $8K | |
| 2019 | 396 | $28K | |
| 2020 | 386 | $30K | |
| 2021 | 1,092 | $63K | |
| 2022 | 924 | $78K | |
| 2023 | 607 | $54K | |
| 2024incomplete | 525 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 49% | 1,943 | 1,882 | $153K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 1,119 | 1,086 | $93K |
| 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 | 13% | 533 | 509 | $41K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.3% | 423 | 400 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | 14 | $1K |
| 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% | 15 | 15 | $808.59 |
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 officialHO, THOMAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Ringgold Pediatric Clinic, P.C. | Ringgold, GA | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.