Clinic
Urgent Care of Wallace, PLLC
Urgent Care of Wallace, PLLC was paid $1.28M by Medicaid between Jan 2021 and Oct 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoURGENT CARE OF WALLACE, PLLC
WALLACE, NC 28466
WALLACE, NC 28466
33aNPI1699372243assigned 10/07/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.28M
24GClaims42,770
24DCodes billed22
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in North Carolina
Rank by total paid#18 of 56
Median peer was paid$409K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2021 | 7,999 | $196K | |
| 2022 | 12,400 | $402K | |
| 2023 | 15,316 | $458K | |
| 2024incomplete | 7,055 | $219K |
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 | 29% | 9,519 | 6,224 | $374K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 26% | 6,200 | 3,821 | $329K |
| 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 | 15% | 2,927 | 2,188 | $185K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.4% | 2,277 | 1,580 | $68K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.0% | 3,070 | 1,639 | $64K |
| 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 | 4.9% | 657 | 459 | $63K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.8% | 4,314 | 1,793 | $49K |
| 87430 | 3.5% | 4,818 | 3,480 | $44K | |
| 87400 | 2.9% | 3,834 | 1,461 | $37K | |
| 87428 | 1.6% | 781 | 322 | $20K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,221 | 762 | $10K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 361 | 123 | $10K |
10 more codes
| 87807 | <1% | 861 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 273 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 181 | $3K |
| 81002 | <1% | 752 | $1K | |
| 81025 | <1% | 132 | $694.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 66 | $632.40 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 90 | $498.39 |
| 81003 | <1% | 334 | $361.92 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 28 | $0.00 |
| A9150 | Non-prescription drugs | 0% | 74 | $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 officialSMITH, ERICA (BILLING SPECIALIST)