Clinic
Priority Care, LLC
Priority Care, LLC was paid $68K by Medicaid between Jan 2018 and Apr 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoPRIORITY CARE, LLC
SHELBYVILLE, IN 46176
SHELBYVILLE, IN 46176
33aNPI1164688701assigned 08/04/2008
33bProvider typeUrgent Care Clinic/Center
28Total paid$68K
24GClaims2,445
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Urgent Care Clinic/Center providers in Indiana
Rank by total paid#22 of 27
Median peer was paid$365K
This provider vs. median0.2×
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 | 1,484 | $32K | |
| 2019 | 961 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 784 | 703 | $36K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 459 | 430 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 273 | 239 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.6% | 649 | 288 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 280 | 263 | $2K |
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 officialCLAXTON, RYAN (PRACTICE ADMINISTRATOR)
Parent organizationHEALTHWORKS
| Provider | Location | Paid |
|---|---|---|
| Major Hospital | Shelbyville, IN | $14.18M |
| Major Multispecialty Associates | Shelbyville, IN | $4.79M |
| Major Hospital | Shelbyville, IN | $1.75M |
| Major Medical Group LLC | Shelbyville, IN | $670K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.