Folsom Urgent Care INC
Folsom Urgent Care INC was paid $297K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoFOLSOM URGENT CARE INC
FOLSOM, CA 95630
FOLSOM, CA 95630
33aNPI1972971703assigned 09/10/2015
33bProvider typeSpecialist
28Total paid$297K
24GClaims37,179
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#356 of 1,230
Median peer was paid$51K
This provider vs. median5.8×
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 | 7,763 | $146K | |
| 2019 | 9,354 | $27K | |
| 2020 | 5,059 | $16K | |
| 2021 | 3,826 | $28K | |
| 2022 | 2,421 | $28K | |
| 2023 | 4,472 | $32K | |
| 2024incomplete | 4,284 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 9,617 | 8,372 | $156K |
| 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 | 36% | 4,405 | 4,080 | $109K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 781 | 762 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 527 | 520 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 541 | 536 | $6K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 1.4% | 10,876 | 9,205 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 732 | 708 | $4K |
| 99051 | <1% | 5,374 | 4,716 | $2K | |
| 99000 | <1% | 2,144 | 1,925 | $876.73 | |
| 81003 | <1% | 882 | 793 | $690.24 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 53 | 52 | $307.86 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 467 | 457 | $202.91 |
13 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 557 | $174.06 |
| 99201 | <1% | 16 | $93.68 | |
| 81025 | <1% | 49 | $37.61 | |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 13 | $35.91 |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $16.60 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $12.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 33 | $7.16 |
| 99173 | 0% | 14 | $0.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 14 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 15 | $0.00 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 13 | $0.00 |
| 94760 | 0% | 15 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 14 | $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 officialCAPEL, BEVERLY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Capitol Urgent Care INC | Sacramento, CA | $788K |
| Natomas Urgent Care INC. | Sacramento, CA | $232K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.