NP / PA
Upstream Health & Wellness, LLC
Upstream Health & Wellness, LLC was paid $393K by Medicaid between Sep 2019 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoUPSTREAM HEALTH & WELLNESS, LLC
PORTAGE, IN 46368
PORTAGE, IN 46368
33aNPI1174082523assigned 03/15/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$393K
24GClaims13,842
24DCodes billed14
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Indiana
Rank by total paid#9 of 148
Median peer was paid$20K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2019 | 36 | $2K | |
| 2020 | 1,324 | $38K | |
| 2021 | 3,824 | $111K | |
| 2022 | 3,384 | $98K | |
| 2023 | 3,097 | $85K | |
| 2024incomplete | 2,177 | $59K |
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 | 71% | 3,594 | 3,085 | $278K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 18% | 1,753 | 1,223 | $69K |
| J3415 | Injection, pyridoxine hcl, 100 mg | 3.6% | 1,568 | 1,163 | $14K |
| 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 | 2.9% | 103 | 99 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 92 | 65 | $7K |
| 36415 | Collection of venous blood by venipuncture | 1.6% | 2,055 | 1,350 | $6K |
| J0610 | Injection, calcium gluconate (fresenius kabi), per 10 ml | <1% | 681 | 494 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | 47 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,571 | 1,148 | $1K |
| J3490 | Unclassified drugs | <1% | 698 | 510 | $668.67 |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 1,486 | 1,094 | $589.02 |
| J0612 | Injection, calcium gluconate, not otherwise specified, 10 mg | <1% | 41 | 23 | $0.23 |
2 more codes
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 officialANDERSON, ROBIN (OWNER)