Wellcare Family Medicine PLLC

Wellcare Family Medicine PLLC was paid $43K by Medicaid between Jan 2018 and May 2022, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.

33Billing provider infoWELLCARE FAMILY MEDICINE PLLC
DUNLAP, TN 37327

33aNPI1073046587assigned 04/11/2017

33bProvider typeFamily Nurse Practitioner

28Total paid$43K

24GClaims5,541

24DCodes billed9

24AFirst – last monthJan 2018 – May 2022

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#232 of 687

Median peer was paid$15K

This provider vs. median2.9×

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	221	$452.69
2019	325	$618.49
2020	984	$6K
2021	3,102	$33K
2022	909	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	78%	2,813	1,818	$33K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	657	419	$7K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	2.3%	31	14	$974.89
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	42	30	$523.62
36415	Collection of venous blood by venipuncture	<1%	609	310	$387.51
80305		<1%	116	84	$236.57
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	26	14	$219.22
81003		<1%	43	12	$8.78
99000		<1%	1,204	696	$6.00

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 officialBUCKNER, ANGELA (OWNER/PROVIDER)