Clinic
Urgent Care for Children, PLLC
Urgent Care for Children, PLLC was paid $1.56M by Medicaid between Apr 2021 and Jul 2023, across 13 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 35% of everything it billed.
33Billing provider infoURGENT CARE FOR CHILDREN, PLLC
HIXSON, TN 37343
HIXSON, TN 37343
33aNPI1205434420assigned 10/09/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.56M
24GClaims49,539
24DCodes billed13
24AFirst – last monthApr 2021 – Jul 2023
Compared with peers
Next to other Urgent Care Clinic/Center providers in Tennessee
Rank by total paid#8 of 38
Median peer was paid$345K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2021 | 3,128 | $82K | |
| 2022 | 31,878 | $972K | |
| 2023 | 14,533 | $501K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 7,549 | 6,590 | $537K |
| 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 | 19% | 5,612 | 5,018 | $301K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 3,313 | 2,944 | $172K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.7% | 15,484 | 6,994 | $150K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 8.5% | 3,529 | 3,198 | $132K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.0% | 4,136 | 3,478 | $110K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 2,397 | 2,236 | $92K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 4,858 | 4,326 | $41K |
| 87807 | 1.2% | 2,470 | 2,169 | $19K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 90 | 68 | $980.83 |
| 87428 | <1% | 14 | 12 | $516.84 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | 12 | $260.19 |
1 more codes
| 99051 | 0% | 69 | $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 officialARORA, ALLURY (CEO/CMO)
| Provider | Location | Paid |
|---|---|---|
| Children's Urgent Care, LLC | Birmingham, AL | $16.23M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.