Physician
Wellness Physician Care PLLC
Wellness Physician Care PLLC was paid $3.71M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoWELLNESS PHYSICIAN CARE PLLC
WATERTOWN, NY 13601
WATERTOWN, NY 13601
33aNPI1114979598assigned 05/16/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.71M
24GClaims74,523
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#70 of 6,049
Median peer was paid$11K
This provider vs. median328×
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 | 6,052 | $332K | |
| 2019 | 8,939 | $424K | |
| 2020 | 7,767 | $318K | |
| 2021 | 14,838 | $682K | |
| 2022 | 15,068 | $755K | |
| 2023 | 13,421 | $722K | |
| 2024incomplete | 8,438 | $477K |
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 | 44% | 18,246 | 17,519 | $1.63M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 21,415 | 20,316 | $1.33M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.3% | 3,839 | 3,834 | $307K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.0% | 7,051 | 6,772 | $184K |
| 99051 | 4.9% | 15,064 | 14,588 | $180K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,018 | 2,076 | $36K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,528 | 1,525 | $16K |
| 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 | <1% | 136 | 136 | $14K |
| 81002 | <1% | 2,294 | 2,236 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 48 | 48 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | 49 | $2K |
| 99000 | 0% | 1,834 | 1,795 | $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 officialROACHE, EDMUND (OWNER)