Clinic
Wellspring Family Clinic
Wellspring Family Clinic was paid $2.92M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoWELLSPRING FAMILY CLINIC
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
33aNPI1033526611assigned 07/16/2014
33bProvider typeClinic/Center
28Total paid$2.92M
24GClaims41,042
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Oklahoma
Rank by total paid#28 of 205
Median peer was paid$295K
This provider vs. median9.9×
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 | 5,143 | $296K | |
| 2019 | 4,283 | $250K | |
| 2020 | 5,465 | $328K | |
| 2021 | 6,793 | $479K | |
| 2022 | 8,812 | $664K | |
| 2023 | 7,489 | $646K | |
| 2024incomplete | 3,057 | $252K |
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 | 42% | 17,420 | 16,140 | $1.23M |
| 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 | 41% | 11,626 | 10,724 | $1.19M |
| 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 | 4.5% | 910 | 910 | $131K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 1,136 | 1,136 | $107K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.1% | 2,193 | 2,177 | $92K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 407 | 407 | $38K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 354 | 354 | $36K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 177 | 177 | $16K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 389 | 379 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 377 | 356 | $16K |
| 99442 | <1% | 64 | 64 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 33 | 33 | $5K |
34 more codes
| 90686 | <1% | 914 | $4K | |
| 99441 | <1% | 84 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 186 | $3K |
| 99050 | <1% | 157 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 328 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 148 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 70 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 36 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $976.48 |
| 99408 | <1% | 27 | $872.10 | |
| 96127 | <1% | 163 | $657.56 | |
| 99173 | <1% | 108 | $264.66 | |
| 84703 | <1% | 29 | $194.01 | |
| 99051 | <1% | 29 | $192.37 | |
| 99490 | Ccm add 20min | <1% | 18 | $73.29 |
| 96160 | <1% | 1,832 | $0.02 | |
| 94760 | 0% | 226 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 874 | $0.00 |
| 90716 | 0% | 36 | $0.00 | |
| 90651 | 0% | 19 | $0.00 | |
| 90702 | 0% | 14 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 3044F | 0% | 24 | $0.00 | |
| 90734 | 0% | 90 | $0.00 | |
| 90713 | 0% | 183 | $0.00 | |
| 90649 | 0% | 35 | $0.00 | |
| 90670 | 0% | 39 | $0.00 | |
| 90700 | 0% | 171 | $0.00 | |
| 90707 | 0% | 27 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 90633 | 0% | 12 | $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 officialSAGER, KRISTI (NURSE PRACTITIONER/OWNER)