Clinic
Rmchcs Urgent Care, LLC
Rmchcs Urgent Care, LLC was paid $640K by Medicaid between Jan 2018 and Jun 2021, across 21 billing codes. Its largest line is S9083, Global fee urgent care centers — 54% of everything it billed.
33Billing provider infoRMCHCS URGENT CARE, LLC
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1992248736assigned 11/28/2016
33bProvider typeUrgent Care Clinic/Center
28Total paid$640K
24GClaims7,519
24DCodes billed21
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Urgent Care Clinic/Center providers in New Mexico
Rank by total paid#17 of 26
Median peer was paid$1.29M
This provider vs. median0.5×
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 | 1,189 | $98K | |
| 2019 | 2,337 | $209K | |
| 2020 | 2,400 | $211K | |
| 2021 | 1,593 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 54% | 2,554 | 2,478 | $348K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 1,261 | 1,111 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,802 | 1,608 | $97K |
| 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 | 5.7% | 298 | 287 | $37K |
| 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 | 3.1% | 267 | 241 | $20K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 168 | 168 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 266 | 255 | $10K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 83 | 78 | $6K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 95 | 83 | $3K |
| 87631 | <1% | 13 | 13 | $2K | |
| 86580 | <1% | 13 | 13 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 51 | 46 | $1K |
9 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 90 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 61 | $1K |
| 90686 | <1% | 61 | $1K | |
| 87430 | <1% | 65 | $1K | |
| 81003 | <1% | 287 | $227.89 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 17 | $60.41 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 40 | $27.76 |
| 81025 | <1% | 13 | $23.47 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $13.79 |
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 officialSMITHBURG, DONALD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Lsumc University Medical Center | Lafayette, LA | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.