Clinic
Rural Primary Care South, INC.
Rural Primary Care South, INC. was paid $3.15M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoRURAL PRIMARY CARE SOUTH, INC.
WARRIOR, AL 35180
WARRIOR, AL 35180
33aNPI1508277310assigned 05/14/2014
33bProvider typeRural Health Clinic/Center
28Total paid$3.15M
24GClaims54,470
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Alabama
Rank by total paid#17 of 80
Median peer was paid$818K
This provider vs. median3.9×
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 | 5,583 | $349K | |
| 2019 | 6,903 | $408K | |
| 2020 | 6,197 | $343K | |
| 2021 | 8,330 | $496K | |
| 2022 | 10,395 | $568K | |
| 2023 | 10,368 | $568K | |
| 2024incomplete | 6,694 | $419K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 91% | 21,373 | 16,959 | $2.88M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 3,293 | 2,987 | $65K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.1% | 509 | 410 | $65K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 2,370 | 2,160 | $57K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 4,229 | 3,831 | $53K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 212 | 184 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 11,656 | 9,601 | $4K |
| 81003 | <1% | 1,317 | 1,165 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 511 | 485 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 650 | 611 | $2K |
| 86308 | <1% | 320 | 296 | $2K | |
| 87428 | <1% | 37 | 33 | $2K |
19 more codes
| 90651 | <1% | 95 | $1K | |
| 90686 | <1% | 114 | $859.58 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,979 | $765.04 |
| 81025 | <1% | 252 | $657.98 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,237 | $476.35 |
| 90734 | <1% | 56 | $432.00 | |
| 74240 | <1% | 12 | $352.22 | |
| 87807 | <1% | 30 | $275.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 16 | $194.84 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 17 | $171.22 |
| 85018 | <1% | 61 | $153.00 | |
| G0477 | Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service | <1% | 18 | $145.60 |
| 90619 | <1% | 13 | $104.00 | |
| 90715 | <1% | 12 | $88.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,192 | $57.33 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 518 | $21.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 284 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 68 | $0.00 |
| 99383 | 0% | 19 | $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 officialPATTON, MICHAEL (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Urgent Care South, INC. | Warrior, AL | $155K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.