Clinic
Sedalia Urgent Care LLC
Sedalia Urgent Care LLC was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoSEDALIA URGENT CARE LLC
SEDALIA, MO 65301
SEDALIA, MO 65301
33aNPI1922548841assigned 02/24/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.24M
24GClaims26,477
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Missouri
Rank by total paid#10 of 37
Median peer was paid$456K
This provider vs. median2.7×
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 | 210 | $5K | |
| 2019 | 635 | $13K | |
| 2020 | 1,850 | $53K | |
| 2021 | 3,944 | $123K | |
| 2022 | 5,480 | $257K | |
| 2023 | 7,399 | $360K | |
| 2024incomplete | 6,959 | $430K |
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% | 7,414 | 6,194 | $365K |
| 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 | 26% | 4,836 | 4,084 | $321K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 4,153 | 3,353 | $229K |
| 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 | 10.0% | 1,311 | 1,096 | $124K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 7.5% | 1,501 | 1,313 | $93K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.4% | 3,925 | 3,455 | $42K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.7% | 1,330 | 1,159 | $33K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 610 | 516 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 263 | 158 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 119 | 102 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 107 | 93 | $2K |
| 87807 | <1% | 122 | 102 | $987.47 |
7 more codes
| 87634 | <1% | 17 | $730.08 | |
| 81003 | <1% | 379 | $452.18 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $145.65 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $42.62 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 30 | $0.00 |
| 99000 | 0% | 293 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 15 | $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 officialGUEVARA, JORGE (OWNER)