Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Southern Immediate Care, LLC (NPI 1467909978)

Key Findings

Field	Value
Entity Type	Organization
Organization	Southern Immediate Care, LLC
Address	4100 Mcclellan Blvd
City	Anniston
State	AL
ZIP	36201
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	September 1, 2016

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

This entity has no Medicare billing on file and is effectively a Medicaid-focused provider, reporting Total Medicaid revenue of $12.5M. The absence of Medicare activity means analyses should treat this practice as single-payer (Medicaid)-dominated rather than a mixed Medicare/Medicaid operator.

Revenue is highly concentrated in a few codes: the precomputed top three Medicaid codes (99214, 87798, 99204) account for 51.5% of this provider’s total Medicaid revenue. Individually those codes are reported as 99214 = $3.3M (26.4%), 87798 = $2M (16.4%), and 99204 = $1.1M (8.8%), indicating that just these visits and tests drive a majority of collections.

The service mix is consistent with an urgent care clinic that couples high-volume evaluation & management visits with on-site infectious disease and respiratory lab testing. High-volume E/M codes (99214, 99204, 99203) appear alongside frequent amplified nucleic acid and multiplex respiratory panels (87798, 87631, U0003, 87633), signaling a walk-in model focused on acute visits plus diagnostic testing throughput.

SOUTHERN IMMEDIATE CARE is a dominant statewide performer on key E/M codes: 99214 ranks #20 of 1990 providers in-state (99th percentile; extreme outlier) and 99204 ranks #4 of 632 providers in-state (100th percentile; notably above typical state volume). 99203 also ranks #7 of 660 providers in-state (99th percentile; extreme outlier). These rankings indicate unusually high visit volumes relative to in-state peers for both established and new patient office visits.

The practice shows a substantial laboratory/testing footprint but mixed competitive placement across lab codes: 87798 (amplified probe infectious agent testing) is $2M revenue and ranks #10 of 57 providers in-state (84th percentile; typical, unremarkable volume), while 87631 (multiplex respiratory panel) is $973.2K and ranks #2 of 30 providers in-state (97th percentile; typical, unremarkable volume). SARS–CoV–2 testing codes such as U0003 ($656.4K, #6 of 65; 92th percentile) and U0005 ($172.2K, #8 of 42; 83th percentile) further demonstrate robust diagnostic throughput.

Several point-of-care test and procedure codes are extreme outliers in statewide rank, reflecting very high episodic throughput: 87804 (influenza immunoassay) has 44.4K claims, $399.5K revenue and ranks #5 of 793 providers in-state (99th percentile; notably above typical state volume); 87880 (strep A immunoassay) has 30.2K claims, $302.2K revenue and ranks #7 of 680 (99th percentile; extreme outlier); 96372 (injections) has 30.5K claims, $243.9K revenue and ranks #4 of 655 (100th percentile; extreme outlier). These patterns reinforce a high-throughput, symptomatic testing and treatment model typical of urgent care settings.

Operational tenure is well-established: the NPI was enumerated on 2016-09-01 (~10 years ago), providing several years of claims history to evaluate trends and consistency in the high-volume E/M and testing activity documented above.

For payers and network analysts, this profile signals that SOUTHERN IMMEDIATE CARE is a material Medicaid access point in its market—$12.5M in Medicaid revenue combined with multiple top-percentile ranks means inclusion or exclusion could meaningfully affect plan-level outpatient capacity for acute care and infectious-disease testing in the region. Because Medicare billing is absent, Medicaid-network negotiations and capacity planning should be prioritized when assessing this provider.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	55,800	$60	$3.3M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	21,740	$90	$2M
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	13,860	$80	$1.1M
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	16,780	$60	$973.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	17,590	$40	$703.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	17,270	$40	$656.4K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	10,880	$50	$565.5K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	3,160	$150	$476.9K
87486	The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…	18,620	$20	$428.3K
87581	The lab analyst performs a test for Mycoplasma pneumonia, a bacteria, using amplified nucleic acid probe technique.	18,620	$20	$428.2K

Showing 1–10 of 49

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Southern Immediate Care, LLC — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	10	60	1,260	$60	$1.2M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	19	100	470	$130	$1.2M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	6	70	380	$60	$893.8K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	20	40	450	$20	$591.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	21	40	460	$20	$584.1K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	26	40	1,540	$10	$397.4K
87581	The lab analyst performs a test for Mycoplasma pneumonia, a bacteria, using amplified nucleic acid probe technique.	7	40	1,440	$20	$372.1K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	31	90	500	$40	$303.6K
87486	The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…	6	40	2,000	$20	$273.5K
87481	The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.	12	30	1,190	$30	$272.8K

Showing 1–10 of 49

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gabrielle Dussett	AL	Family Nurse Practitioner	$248.7K	$0
Ghaith Ajamoughli	AL	Family Medicine Physician	$77.3K	$0
Mark Cobb	AL	Acute Care Nurse Practitioner	$45.2K	$0
Anastasia Boody	AL	Family Nurse Practitioner	$37.9K	$0
Kelli Martin	AL	Family Nurse Practitioner	$36.8K	$0
Jason Junkins	AL	Internal Medicine Physician	$36K	$0
Melanie Maddox	AL	Nurse Practitioner	$29.1K	$0
Christopher Thomas	AL	General Practice Physician	$24.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Purohit Pediatric Clinic, LLC	AL	Specialist	$0	$23.2M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$4.6M
Anniston Emerg Med Svcs	AL	Ambulance	$1.1M	$1.9M
Calhoun County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$2.2M
Mahomed Salame	AL	Cardiovascular Disease Physician	$1M	$0
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Optometrist	$0	$914.4K
Vishwanath Reddy	AL	Internal Medicine Physician	$228.5K	$0
Rodney Snead	AL	Emergency Medical Services (Emergency Medicine) Physician	$213.9K	$0
Pratibha Vashista	AL	Family Medicine Physician	$124.5K	$0
Hugh Maddox	AL	Pain Medicine (Anesthesiology) Physician	$106.3K	$0

Southern Immediate Care, LLC — Billing Profile & Reimbursement Data

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Southern Immediate Care, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References