WELL CARE MEDICAL GROUP LLC
NPI: 1073049367
· LAS VEGAS, NV 89120
· General Practice Physician
· NPI assigned 05/04/2017
$253K
Total Medicaid Paid
Provider Details
| Authorized Official | LUECK, MAE (CEO) |
| NPI Enumeration Date | 05/04/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
610 |
$17K |
| 2019 |
2,265 |
$184K |
| 2020 |
986 |
$48K |
| 2021 |
299 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2011 |
Crisis intervention service, per 15 minutes |
174 |
58 |
$94K |
| 90876 |
|
1,004 |
158 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,405 |
1,182 |
$39K |
| Q3014 |
Telehealth originating site facility fee |
980 |
156 |
$10K |
| 95816 |
|
41 |
36 |
$9K |
| 92585 |
|
49 |
41 |
$4K |
| 96132 |
|
49 |
41 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
176 |
$3K |
| 96136 |
|
49 |
41 |
$1K |
| 96137 |
|
49 |
41 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
27 |
$692.52 |
| 93040 |
|
41 |
36 |
$340.20 |
| 95930 |
|
20 |
16 |
$85.02 |