South Salem Immediate Care INC.
South Salem Immediate Care INC. was paid $550K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 30% of everything it billed.
33Billing provider infoSOUTH SALEM IMMEDIATE CARE INC.
SALEM, OR 97302
SALEM, OR 97302
33aNPI1871648402assigned 01/24/2007
33bProvider typeLegal Medicine
28Total paid$550K
24GClaims9,121
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
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 | 1,923 | $102K | |
| 2019 | 1,498 | $75K | |
| 2020 | 786 | $37K | |
| 2021 | 919 | $61K | |
| 2022 | 1,467 | $101K | |
| 2023 | 1,591 | $107K | |
| 2024incomplete | 937 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 30% | 2,158 | 2,115 | $165K |
| 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 | 23% | 1,121 | 1,092 | $128K |
| 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% | 997 | 948 | $82K |
| 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% | 1,209 | 1,129 | $70K |
| 99205 | Prolong outpt/office vis | 9.5% | 346 | 339 | $52K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.9% | 132 | 131 | $16K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.5% | 223 | 217 | $14K |
| 93000 | 1.2% | 575 | 563 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 496 | 481 | $5K |
| 81000 | <1% | 1,367 | 1,324 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 61 | 60 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 99 | 99 | $3K |
5 more codes
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 officialMADDY, RACHEL (PRESIDENT/OWNER)