Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WELLSTAR MEDICAL GROUP, LLC

NPI: 1013213651 · AUSTELL, GA 30106 · Obstetrics & Gynecology Physician · NPI assigned 01/30/2011

$5K
Total Medicaid Paid
153
Total Claims
142
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialASHE, NICOLE (EXECUTIVE DIRECTOR OF FINANCE)
Parent OrganizationWELLSTAR MEDICAL GROUP, LLC
NPI Enumeration Date01/30/2011

Related Entities

Other providers sharing the same authorized official: ASHE, NICOLE

ProviderCityStateTotal Paid
WELLSTAR KENNESTONE PEDIATRIC ASSOCIATES, LLC MARIETTA GA $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 153 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70 64 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19 18 $2K
81025 44 40 $342.19
85018 20 20 $59.17