Clinic
The Wellness Plan Medical Centers
The Wellness Plan Medical Centers was paid $17.54M by Medicaid between Jan 2018 and Dec 2024, across 168 billing codes. Its largest line is G0467, community health center visit, returning patient — 61% of everything it billed.
33Billing provider infoTHE WELLNESS PLAN MEDICAL CENTERS
DETROIT, MI 48202
DETROIT, MI 48202
33aNPI1043373244assigned 12/18/2006
33bProvider typeClinic/Center
28Total paid$17.54M
24GClaims623,113
24DCodes billed168
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Michigan
Rank by total paid#2 of 121
Median peer was paid$71K
This provider vs. median248×
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 | 137,739 | $3.39M | |
| 2019 | 132,577 | $3.20M | |
| 2020 | 68,542 | $2.28M | |
| 2021 | 69,392 | $2.20M | |
| 2022 | 84,283 | $2.69M | |
| 2023 | 68,684 | $2.06M | |
| 2024incomplete | 61,896 | $1.71M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 61% | 162,863 | 137,856 | $10.64M |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 5.7% | 14,584 | 14,103 | $999K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 5.1% | 13,782 | 9,385 | $888K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 4,784 | 4,769 | $633K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 5,486 | 3,083 | $631K |
| D1110 | Prophylaxis - adult | 3.5% | 4,509 | 4,501 | $616K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 3,879 | 3,858 | $524K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 2,776 | 2,733 | $394K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 2,655 | 1,914 | $343K |
| D4355 | 1.2% | 1,431 | 1,426 | $217K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 1,844 | 1,353 | $211K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 1.2% | 2,816 | 2,801 | $203K |
156 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.1% | 76,456 | $187K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 37,088 | $140K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 436 | $67K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 18,178 | $55K |
| 90651 | <1% | 3,207 | $46K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 7,844 | $39K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 15,115 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,337 | $36K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 3,462 | $35K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 9,837 | $32K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 4,551 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 6,023 | $29K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 5,345 | $28K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 6,113 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13,847 | $22K |
| 80053 | Comprehensive metabolic panel | <1% | 4,730 | $21K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 3,487 | $20K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 5,973 | $19K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,612 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,527 | $18K |
| 81025 | <1% | 9,560 | $16K | |
| D0274 | Bitewings - four radiographic images | <1% | 2,836 | $15K |
| 99385 | <1% | 2,194 | $15K | |
| D2330 | <1% | 150 | $15K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,200 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,155 | $14K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 1,212 | $12K |
| 90686 | <1% | 4,105 | $12K | |
| 59426 | <1% | 12 | $11K | |
| 99386 | <1% | 1,379 | $10K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,791 | $9K |
| 80061 | Lipid panel | <1% | 5,623 | $9K |
| D1120 | Dental cleaning, child | <1% | 207 | $9K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 659 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,250 | $8K |
| D2331 | <1% | 70 | $8K | |
| 92551 | <1% | 8,812 | $7K | |
| 99381 | <1% | 1,019 | $7K | |
| 81003 | <1% | 9,901 | $6K | |
| 82043 | <1% | 2,080 | $6K | |
| 86580 | <1% | 2,585 | $5K | |
| 80305 | <1% | 1,960 | $5K | |
| 99382 | <1% | 684 | $5K | |
| 93000 | <1% | 1,657 | $5K | |
| 99000 | <1% | 982 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,142 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 901 | $4K |
| 90670 | <1% | 4,270 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 166 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,212 | $4K |
| 90715 | <1% | 2,515 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,665 | $4K |
| 85018 | <1% | 3,739 | $4K | |
| 99383 | <1% | 999 | $4K | |
| 81001 | <1% | 3,900 | $3K | |
| 99384 | <1% | 659 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,456 | $3K |
| 99406 | <1% | 1,037 | $3K | |
| 92250 | <1% | 259 | $3K | |
| D2335 | <1% | 17 | $2K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 13 | $2K |
| 82948 | <1% | 7,915 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 360 | $2K |
| 59425 | <1% | 18 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 196 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 136 | $2K |
| 90632 | <1% | 63 | $2K | |
| 90621 | <1% | 396 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 413 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 314 | $2K |
| 90734 | <1% | 2,496 | $2K | |
| G0008 | Administration of influenza virus vaccine | <1% | 523 | $1K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 248 | $1K |
| D0330 | Panoramic radiographic image | <1% | 222 | $1K |
| 87400 | <1% | 515 | $1K | |
| 90707 | <1% | 1,034 | $978.97 | |
| 90677 | <1% | 344 | $833.51 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 154 | $639.05 |
| 90716 | <1% | 1,046 | $584.98 | |
| H0031 | Mental health assessment, by non-physician | <1% | 71 | $547.26 |
| 99205 | Prolong outpt/office vis | <1% | 235 | $500.01 |
| 99404 | <1% | 13 | $458.99 | |
| 94010 | <1% | 134 | $396.20 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,230 | $373.06 |
| H0001 | Alcohol and/or drug assessment | <1% | 27 | $368.88 |
| G0009 | Administration of pneumococcal vaccine | <1% | 101 | $357.00 |
| 90656 | <1% | 148 | $355.02 | |
| 85610 | <1% | 264 | $350.76 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 305 | $331.35 |
| 90474 | <1% | 320 | $327.15 | |
| 90732 | <1% | 14 | $320.00 | |
| 97802 | <1% | 2,870 | $255.00 | |
| 90662 | <1% | 18 | $225.00 | |
| 90619 | <1% | 465 | $150.00 | |
| 90682 | <1% | 13 | $145.99 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 228 | $130.61 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 244 | $116.25 |
| 86592 | <1% | 198 | $106.63 | |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | <1% | 202 | $75.46 |
| 90696 | <1% | 1,574 | $74.26 | |
| 90658 | <1% | 33 | $53.16 | |
| 90744 | <1% | 1,100 | $52.28 | |
| J1815 | Injection, insulin, per 5 units | <1% | 89 | $48.81 |
| 85027 | <1% | 13 | $41.58 | |
| 96127 | <1% | 290 | $35.31 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 15 | $27.01 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 47 | $14.91 |
| 90648 | <1% | 1,866 | $12.90 | |
| 90749 | <1% | 24 | $0.01 | |
| 90723 | 0% | 1,614 | $0.00 | |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 464 | $0.00 |
| 90698 | 0% | 1,967 | $0.00 | |
| 90680 | 0% | 248 | $0.00 | |
| 59430 | 0% | 14 | $0.00 | |
| 90620 | 0% | 100 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 2,277 | $0.00 |
| D0603 | 0% | 364 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 23 | $0.00 |
| 86317 | 0% | 241 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 17 | $0.00 |
| D0602 | 0% | 105 | $0.00 | |
| 90647 | 0% | 300 | $0.00 | |
| 36410 | 0% | 224 | $0.00 | |
| 81528 | Oncology (colorectal) screening, quantitative real-time target and signal amplification | 0% | 53 | $0.00 |
| 1036F | 0% | 15 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 94 | $0.00 |
| D0601 | 0% | 108 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 163 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | $0.00 |
| 76801 | 0% | 14 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 26 | $0.00 |
| 90633 | 0% | 2,877 | $0.00 | |
| 90710 | 0% | 2,051 | $0.00 | |
| 86480 | 0% | 13 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 4,588 | $0.00 |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 0% | 29 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 232 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 12 | $0.00 |
| 90700 | 0% | 1,364 | $0.00 | |
| 99401 | 0% | 15 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 170 | $0.00 |
| 90461 | 0% | 6,657 | $0.00 | |
| 90713 | 0% | 147 | $0.00 | |
| 99051 | 0% | 65 | $0.00 | |
| 90681 | 0% | 729 | $0.00 | |
| 90750 | 0% | 13 | $0.00 | |
| 99173 | 0% | 2,822 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 131 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 198 | $0.00 |
| 90685 | 0% | 181 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 30 | $0.00 |
| 99420 | 0% | 35 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 88 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 32 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 15 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 22 | $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 officialKING, ANTHONY (CEO AND EXEC DIR)
| Provider | Location | Paid |
|---|---|---|
| The Wellness Plan Medical Centers | Detroit, MI | $1.44M |
| The Wellness Plan Medical Centers | Detroit, MI | $528K |
| The Wellness Plan Medical Centers | Pontiac, MI | $71K |
| The Wellness Plan Medical Centers | Detroit, MI | $11K |
| The Wellness Plan Medical Centers | Oak Park, MI | $4K |
| The Wellness Plan Medical Centers | Pontiac, MI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.