Physician
Smoky Mountain Urgent Care PC
Smoky Mountain Urgent Care PC was paid $4.16M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoSMOKY MOUNTAIN URGENT CARE PC
BRYSON CITY, NC 28713
BRYSON CITY, NC 28713
33aNPI1407295447assigned 06/24/2013
33bProvider typeFamily Medicine Physician
28Total paid$4.16M
24GClaims179,670
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#20 of 960
Median peer was paid$135K
This provider vs. median31×
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 | 22,690 | $511K | |
| 2019 | 27,020 | $754K | |
| 2020 | 15,013 | $556K | |
| 2021 | 38,907 | $1.16M | |
| 2022 | 36,257 | $868K | |
| 2023 | 21,342 | $234K | |
| 2024incomplete | 18,441 | $82K |
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% | 36,153 | 26,269 | $2.23M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 10,900 | 7,790 | $514K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.4% | 11,370 | 7,991 | $307K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.1% | 4,294 | 3,432 | $295K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.2% | 18,419 | 6,856 | $175K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.5% | 7,741 | 4,009 | $148K |
| 99199 | Unlisted special service, procedure or report | 3.4% | 48,236 | 32,476 | $143K |
| 99336 | 1.4% | 1,852 | 1,278 | $57K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 4,119 | 3,365 | $47K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,602 | 696 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 357 | 300 | $30K |
| 87428 | <1% | 752 | 375 | $24K |
45 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 269 | $23K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 637 | $22K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,304 | $20K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 357 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,479 | $13K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 143 | $13K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 881 | $10K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 512 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 122 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 75 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 749 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 150 | $4K |
| 99349 | <1% | 104 | $3K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 75 | $2K |
| 99335 | <1% | 56 | $2K | |
| 87807 | <1% | 288 | $2K | |
| 92551 | <1% | 607 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 114 | $1K |
| 85018 | <1% | 926 | $1K | |
| 99441 | <1% | 68 | $970.34 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 16 | $667.04 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 153 | $625.36 |
| 90651 | <1% | 83 | $468.00 | |
| 99173 | <1% | 1,054 | $466.38 | |
| 81003 | <1% | 199 | $276.31 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 233 | $270.60 |
| 90734 | <1% | 31 | $252.52 | |
| 99307 | <1% | 39 | $250.14 | |
| 99497 | <1% | 55 | $204.23 | |
| 99000 | <1% | 174 | $97.02 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 44 | $56.70 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 59 | $20.59 |
| 90688 | <1% | 640 | $15.80 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 39 | $4.64 |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 148 | $0.00 |
| 1000F | 0% | 1,025 | $0.00 | |
| 3074F | 0% | 18 | $0.00 | |
| 90686 | 0% | 50 | $0.00 | |
| 90620 | 0% | 20 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 20,449 | $0.00 |
| 90672 | 0% | 48 | $0.00 | |
| 99072 | 0% | 328 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 3078F | 0% | 18 | $0.00 | |
| 90461 | 0% | 22 | $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 officialCASTOR, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Smoky Mountain Urgent Care PC | Bryson City, NC | $200K |
| RHC Group PLLC | Greenbrier, TN | $159K |
| Smoky Mountain Urgent Care PC | Franklin, NC | $113K |
| Smoky Mountain Urgent Care PC | Bryson City, NC | $100K |
| Smoky Mountain Urgent Care PC | Robbinsville, NC | $33K |
| Palmetto Assisted Living Medical Group PC | Hilton Head, SC | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.