Clinic
Sealy Urgent Care Center P.A.
Sealy Urgent Care Center P.A. was paid $109K by Medicaid between Jan 2020 and Sep 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoSEALY URGENT CARE CENTER P.A.
SEALY, TX 77474
SEALY, TX 77474
33aNPI1730660879assigned 08/27/2018
33bProvider typeUrgent Care Clinic/Center
28Total paid$109K
24GClaims4,964
24DCodes billed22
24AFirst – last monthJan 2020 – Sep 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Texas
Rank by total paid#77 of 151
Median peer was paid$125K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 368 | $6K | |
| 2021 | 1,396 | $29K | |
| 2022 | 1,891 | $40K | |
| 2023 | 1,060 | $30K | |
| 2024incomplete | 249 | $4K |
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 | 49% | 906 | 826 | $54K |
| 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 | 19% | 310 | 286 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 280 | 273 | $18K |
| 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 | 6.6% | 95 | 91 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 165 | 144 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 86 | 83 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 299 | 288 | $1K |
| 0001A | <1% | 54 | 53 | $890.00 | |
| 99000 | <1% | 160 | 153 | $784.47 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 1,951 | 1,752 | $698.61 |
| 0002A | <1% | 37 | 36 | $538.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 184 | 179 | $404.28 |
10 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 44 | $249.74 |
| 87428 | <1% | 12 | $143.31 | |
| 0031A | <1% | 22 | $110.72 | |
| 87807 | <1% | 15 | $52.80 | |
| 99072 | <1% | 66 | $27.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 37 | $10.90 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 42 | $0.00 |
| 94760 | 0% | 43 | $0.00 | |
| 91303 | 0% | 21 | $0.00 | |
| 91300 | 0% | 135 | $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 officialKRISHNASWAMY, KANNAPPAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Om Sakthi P.A. | Sealy, TX | $1.20M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.