Clinic
Wellmont Medical Associates, INC.
Wellmont Medical Associates, INC. was paid $171K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.
33Billing provider infoWELLMONT MEDICAL ASSOCIATES, INC.
GRAY, TN 37615
GRAY, TN 37615
33aNPI1144770934assigned 10/05/2016
33bProvider typeUrgent Care Clinic/Center
28Total paid$171K
24GClaims3,497
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Urgent Care Clinic/Center providers in Tennessee
Rank by total paid#25 of 38
Median peer was paid$345K
This provider vs. median0.5×
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 | 788 | $51K | |
| 2019 | 1,382 | $79K | |
| 2020 | 1,327 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 93% | 1,781 | 1,390 | $160K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 54 | 30 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 28 | 28 | $3K |
| 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 | 1.3% | 25 | 24 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 1,148 | 396 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 461 | 341 | $861.28 |
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 officialHALLFORD, CINDY (DIRECTOR OF PROFESSIONAL BILLING)
| Provider | Location | Paid |
|---|---|---|
| Wellmont Medical Associates, INC. | Bristol, TN | $582K |
| Wellmont Medical Associates, INC. | Bristol, TN | $373K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.