Clinic
Central Alabama Urgent Care INC
Central Alabama Urgent Care INC was paid $1.05M by Medicaid between Jan 2018 and Feb 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoCENTRAL ALABAMA URGENT CARE INC
DORA, AL 35062
DORA, AL 35062
33aNPI1275919185assigned 08/03/2015
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.05M
24GClaims44,277
24DCodes billed19
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Alabama
Rank by total paid#8 of 59
Median peer was paid$77K
This provider vs. median14×
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 | 7,001 | $162K | |
| 2019 | 8,504 | $179K | |
| 2020 | 5,821 | $107K | |
| 2021 | 6,615 | $166K | |
| 2022 | 8,212 | $206K | |
| 2023 | 7,103 | $203K | |
| 2024incomplete | 1,021 | $28K |
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 | 55% | 11,845 | 9,783 | $577K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 5,242 | 4,470 | $187K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.4% | 3,904 | 3,150 | $78K |
| 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 | 5.5% | 795 | 673 | $57K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.8% | 5,577 | 2,418 | $50K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 2,766 | 2,411 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 548 | 457 | $30K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.1% | 2,912 | 2,422 | $22K |
| 85027 | 1.4% | 3,837 | 3,311 | $15K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,004 | 838 | $1K |
| 81003 | <1% | 359 | 266 | $747.90 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 55 | 41 | $339.28 |
7 more codes
| 87807 | <1% | 33 | $330.00 | |
| 86308 | <1% | 12 | $72.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 29 | $38.40 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 34 | $24.57 |
| 36416 | <1% | 3,706 | $2.00 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 42 | $0.04 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 1,577 | $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 officialADERHOLT, STEVEN (OWNER)