Clinic
Urgent Care Enterprise LLC
Urgent Care Enterprise LLC was paid $11.58M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is S9083, Global fee urgent care centers — 38% of everything it billed.
33Billing provider infoURGENT CARE ENTERPRISE LLC
ANTIOCH, TN 37013
ANTIOCH, TN 37013
33aNPI1477087658assigned 04/14/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$11.58M
24GClaims243,034
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Tennessee
Rank by total paid#2 of 38
Median peer was paid$345K
This provider vs. median34×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HOWORTH, WILLIAM controls 20+ related entities in our dataset. Read more
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 | 18,279 | $582K | |
| 2019 | 18,420 | $913K | |
| 2020 | 19,344 | $1.05M | |
| 2021 | 37,872 | $2.00M | |
| 2022 | 61,055 | $2.71M | |
| 2023 | 57,631 | $2.69M | |
| 2024incomplete | 30,433 | $1.62M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 38% | 61,021 | 55,807 | $4.38M |
| 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 | 21% | 38,453 | 31,743 | $2.44M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 26,462 | 22,801 | $1.51M |
| 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% | 20,888 | 18,007 | $1.28M |
| 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 | 7.6% | 11,769 | 10,401 | $882K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 13,804 | 12,434 | $374K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 3,200 | 2,825 | $192K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 10,013 | 8,669 | $164K |
| 87428 | 1.3% | 5,675 | 4,946 | $146K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 19,335 | 8,089 | $73K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16,198 | 13,769 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 832 | 662 | $27K |
28 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 287 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,112 | $18K |
| 99205 | Prolong outpt/office vis | <1% | 140 | $12K |
| 99201 | <1% | 59 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 704 | $4K |
| 81025 | <1% | 1,741 | $3K | |
| 81002 | <1% | 3,739 | $2K | |
| 73610 | <1% | 283 | $2K | |
| 73630 | <1% | 214 | $1K | |
| 69209 | <1% | 121 | $915.68 | |
| 93000 | <1% | 132 | $724.74 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 162 | $717.79 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,351 | $567.08 |
| 87807 | <1% | 148 | $478.97 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 599 | $437.30 |
| 73140 | <1% | 65 | $407.55 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 434 | $254.98 |
| 73110 | <1% | 17 | $105.21 | |
| 86308 | <1% | 69 | $97.63 | |
| 73130 | <1% | 13 | $42.51 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 47 | $12.83 |
| 81003 | <1% | 139 | $10.00 | |
| 99000 | <1% | 433 | $7.78 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 16 | $1.32 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 14 | $0.96 |
| 99051 | 0% | 137 | $0.00 | |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | 0% | 79 | $0.00 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 129 | $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 officialHOWORTH, WILLIAM (PRESIDENT, URGENT CARE)
Parent organizationGALEN HOLDCO, LLC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.