Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › DETROIT › THE WELLNESS PLAN MEDICAL CENTERS

THE WELLNESS PLAN MEDICAL CENTERS

NPI: 1043373244 · DETROIT, MI 48202 · Clinic/Center · NPI assigned 12/18/2006

$17.54M
Total Medicaid Paid
623,113
Total Claims
553,054
Beneficiaries
168
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKING, ANTHONY (CEO AND EXEC DIR)
NPI Enumeration Date12/18/2006

Related Entities

Other providers sharing the same authorized official: KING, ANTHONY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 61,896 $1.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0467 Federally 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 162,863 137,856 $10.64M
G0466 Federally 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 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 13,782 9,385 $888K
D0120 Periodic oral evaluation - established patient 4,784 4,769 $633K
D7140 Extraction, erupted tooth or exposed root 5,486 3,083 $631K
D1110 Prophylaxis - adult 4,509 4,501 $616K
D0150 Comprehensive oral evaluation - new or established patient 3,879 3,858 $524K
D0140 Limited oral evaluation - problem focused 2,776 2,733 $394K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,655 1,914 $343K
D4355 1,431 1,426 $217K
D2391 Resin-based composite - one surface, posterior, primary or permanent 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 2,816 2,801 $203K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 76,456 67,294 $187K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 37,088 34,377 $140K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 436 382 $67K
90460 Immunization administration through 18 years of age via any route, first or only component 18,178 11,740 $55K
90651 3,207 3,143 $46K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,844 7,283 $39K
90832 Psychotherapy, 30 minutes with patient 15,115 9,920 $39K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,337 6,002 $36K
D0210 Intraoral - complete series of radiographic images 3,462 3,440 $35K
83036 Hemoglobin; glycosylated (A1C) 9,837 9,238 $32K
84443 Thyroid stimulating hormone (TSH) 4,551 4,381 $31K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,023 5,632 $29K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,345 5,166 $28K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,113 5,889 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,847 13,029 $22K
80053 Comprehensive metabolic panel 4,730 4,496 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,487 3,311 $20K
99215 Prolong outpt/office vis 5,973 5,748 $19K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,612 5,359 $18K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,527 3,329 $18K
81025 9,560 9,084 $16K
D0274 Bitewings - four radiographic images 2,836 2,830 $15K
99385 2,194 2,127 $15K
D2330 150 117 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,200 3,102 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,155 7,965 $14K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,212 1,165 $12K
90686 4,105 4,015 $12K
59426 12 12 $11K
99386 1,379 1,277 $10K
90472 Immunization administration, each additional vaccine (list separately) 3,791 3,729 $9K
80061 Lipid panel 5,623 5,331 $9K
D1120 Prophylaxis - child 207 207 $9K
99232 Subsequent hospital care, per day, moderate complexity 659 196 $8K
D0220 Intraoral - periapical first radiographic image 3,250 3,228 $8K
D2331 70 52 $8K
92551 8,812 8,617 $7K
99381 1,019 981 $7K
81003 9,901 9,431 $6K
82043 2,080 1,948 $6K
86580 2,585 2,487 $5K
80305 1,960 1,349 $5K
99382 684 676 $5K
93000 1,657 1,571 $5K
99000 982 694 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,142 3,031 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 901 878 $4K
90670 4,270 4,160 $4K
D1206 Topical application of fluoride varnish 166 166 $4K
80048 Basic metabolic panel (calcium, ionized) 1,212 1,182 $4K
90715 2,515 2,473 $4K
36415 Collection of venous blood by venipuncture 4,665 4,461 $4K
85018 3,739 3,659 $4K
99383 999 988 $4K
81001 3,900 3,806 $3K
99384 659 646 $3K
D0230 Intraoral - periapical each additional radiographic image 1,456 1,133 $3K
99406 1,037 967 $3K
92250 259 249 $3K
D2335 17 13 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 13 13 $2K
82948 7,915 7,366 $2K
99238 Hospital discharge day management, 30 minutes or less 360 168 $2K
59425 18 12 $2K
90792 Psychiatric diagnostic evaluation with medical services 196 194 $2K
99222 Initial hospital care, per day, moderate complexity 136 65 $2K
90632 63 61 $2K
90621 396 392 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 413 403 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 314 307 $2K
90734 2,496 2,448 $2K
G0008 Administration of influenza virus vaccine 523 499 $1K
77067 Screening mammography, bilateral, including computer-aided detection 248 241 $1K
D0330 Panoramic radiographic image 222 222 $1K
87400 515 494 $1K
90707 1,034 1,009 $978.97
90677 344 341 $833.51
90834 Psychotherapy, 45 minutes with patient 154 146 $639.05
90716 1,046 1,018 $584.98
H0031 Mental health assessment, by non-physician 71 71 $547.26
99205 Prolong outpt/office vis 235 235 $500.01
99404 13 12 $458.99
94010 134 130 $396.20
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,230 1,186 $373.06
H0001 Alcohol and/or drug assessment 27 27 $368.88
G0009 Administration of pneumococcal vaccine 101 99 $357.00
90656 148 148 $355.02
85610 264 216 $350.76
87086 Culture, bacterial; quantitative colony count, urine 305 289 $331.35
90474 320 318 $327.15
90732 14 14 $320.00
97802 2,870 2,724 $255.00
90662 18 16 $225.00
90619 465 461 $150.00
90682 13 13 $145.99
H0004 Behavioral health counseling and therapy, per 15 minutes 228 148 $130.61
J0696 Injection, ceftriaxone sodium, per 250 mg 244 225 $116.25
86592 198 196 $106.63
J0171 Injection, adrenalin, epinephrine, 0.1 mg 202 180 $75.46
90696 1,574 1,550 $74.26
90658 33 32 $53.16
90744 1,100 1,075 $52.28
J1815 Injection, insulin, per 5 units 89 83 $48.81
85027 13 13 $41.58
96127 290 289 $35.31
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 15 12 $27.01
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 47 45 $14.91
90648 1,866 1,833 $12.90
90749 24 24 $0.01
90723 1,614 1,582 $0.00
H0038 Self-help/peer services, per 15 minutes 464 274 $0.00
90698 1,967 1,928 $0.00
90680 248 244 $0.00
59430 14 13 $0.00
90620 100 98 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 2,277 2,158 $0.00
D0603 364 364 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 23 23 $0.00
86317 241 216 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 17 16 $0.00
D0602 105 105 $0.00
90647 300 281 $0.00
36410 224 224 $0.00
81528 Oncology (colorectal) screening, quantitative real-time target and signal amplification 53 38 $0.00
1036F 15 14 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 94 93 $0.00
D0601 108 108 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 163 157 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 12 12 $0.00
76801 14 13 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 26 26 $0.00
90633 2,877 2,805 $0.00
90710 2,051 2,016 $0.00
86480 13 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 4,588 4,390 $0.00
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 29 26 $0.00
G8421 Bmi not documented and no reason is given 232 214 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 12 12 $0.00
90700 1,364 1,335 $0.00
99401 15 15 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 170 167 $0.00
90461 6,657 5,727 $0.00
90713 147 141 $0.00
99051 65 63 $0.00
90681 729 710 $0.00
90750 13 13 $0.00
99173 2,822 2,727 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 131 127 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 198 194 $0.00
90685 181 174 $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) 30 29 $0.00
99420 35 19 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 88 78 $0.00
90791 Psychiatric diagnostic evaluation 32 29 $0.00
G8785 Blood pressure reading not documented, reason not given 15 15 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 22 21 $0.00