Clinic
Pikeville Urgent Care, PLLC
Pikeville Urgent Care, PLLC was paid $351K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.
33Billing provider infoPIKEVILLE URGENT CARE, PLLC
PIKEVILLE, TN 37367
PIKEVILLE, TN 37367
33aNPI1316321953assigned 07/14/2015
33bProvider typeUrgent Care Clinic/Center
28Total paid$351K
24GClaims15,859
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Tennessee
Rank by total paid#18 of 38
Median peer was paid$345K
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 | 953 | $28K | |
| 2019 | 3,428 | $51K | |
| 2020 | 2,045 | $42K | |
| 2021 | 2,889 | $73K | |
| 2022 | 2,411 | $63K | |
| 2023 | 2,163 | $53K | |
| 2024incomplete | 1,970 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 93% | 12,308 | 8,869 | $327K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.5% | 1,154 | 647 | $9K |
| 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 | 1.8% | 173 | 138 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 130 | 117 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 96 | 71 | $3K |
| 80305 | <1% | 68 | 54 | $436.04 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 263 | 203 | $339.92 |
| 3078F | <1% | 369 | 313 | $220.00 | |
| 3008F | <1% | 632 | 497 | $210.00 | |
| 3074F | <1% | 294 | 246 | $200.00 | |
| 3079F | <1% | 98 | 81 | $50.00 | |
| 1160F | <1% | 35 | 27 | $40.00 |
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 officialBOYNTON, RUTH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pikeville Clinic, LLC | Pikeville, TN | $632K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.