Behavioral
Wellsprings Wellness LLC
Wellsprings Wellness LLC was paid $1.95M by Medicaid between Jan 2020 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoWELLSPRINGS WELLNESS LLC
SOMERSET, KY 42501
SOMERSET, KY 42501
33aNPI1144886763assigned 05/20/2019
33bProvider typeClinical Social Worker
28Total paid$1.95M
24GClaims57,923
24DCodes billed24
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Kentucky
Rank by total paid#29 of 275
Median peer was paid$57K
This provider vs. median34×
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 | |
|---|---|---|---|
| 2020 | 4,161 | $98K | |
| 2021 | 11,769 | $280K | |
| 2022 | 7,924 | $253K | |
| 2023 | 17,386 | $620K | |
| 2024incomplete | 16,683 | $701K |
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 | 62% | 20,900 | 17,048 | $1.21M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 14% | 3,194 | 2,847 | $279K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 7,325 | 6,339 | $243K |
| H0032 | Mental health service plan development by non-physician | 2.2% | 972 | 866 | $44K |
| 96127 | 2.2% | 11,647 | 9,640 | $43K | |
| 80305 | 2.1% | 5,304 | 4,731 | $42K | |
| 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 | 1.7% | 487 | 431 | $33K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 291 | 221 | $20K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 198 | 134 | $14K |
| T2023 | Targeted case management; per month | <1% | 41 | 24 | $8K |
| 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% | 214 | 167 | $7K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 119 | 107 | $4K |
12 more codes
| 90785 | <1% | 449 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 190 | $2K |
| 99072 | <1% | 6,065 | $2K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 20 | $1K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 20 | $481.79 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 20 | $425.08 |
| 36415 | Collection of venous blood by venipuncture | <1% | 138 | $360.91 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $356.65 |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 21 | $308.34 |
| 90756 | <1% | 20 | $228.46 | |
| 888888 | 0% | 117 | $0.00 | |
| 99000 | 0% | 154 | $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 officialWHITAKER, TRICIA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Wellspring Counseling Ky | Somerset, KY | $5.16M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.