Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIME WELLNESS CLINIC LLC

NPI: 1154661395 · WOODBRIDGE, VA 22191 · Primary Care Clinic/Center · NPI assigned 02/25/2013

$2K
Total Medicaid Paid
47
Total Claims
42
Beneficiaries
2
Codes Billed
2021-06
First Month
2023-02
Last Month

Provider Details

Authorized OfficialWELLE, ABUBAKARI (PROPRIETOR)
NPI Enumeration Date02/25/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $263.45
2022 20 $990.93
2023 13 $664.58

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33 30 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $263.45