Physician
The Wecare Group, INC.
The Wecare Group, INC. was paid $24.63M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 69% of everything it billed.
33Billing provider infoTHE WECARE GROUP, INC.
MAD RIVER, CA 95552
MAD RIVER, CA 95552
33aNPI1174693493assigned 11/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$24.63M
24GClaims142,223
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#19 of 2,511
Median peer was paid$13K
This provider vs. median1,917×
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 | 13,611 | $1.84M | |
| 2019 | 14,961 | $1.67M | |
| 2020 | 18,299 | $2.52M | |
| 2021 | 22,504 | $3.57M | |
| 2022 | 21,686 | $4.35M | |
| 2023 | 26,614 | $5.52M | |
| 2024incomplete | 24,548 | $5.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 69% | 58,165 | 42,080 | $16.98M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 30% | 32,800 | 27,731 | $7.50M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,747 | 776 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 30,070 | 18,859 | $22K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 4,243 | 3,750 | $19K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 860 | 637 | $14K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,720 | 1,175 | $10K |
| 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% | 3,866 | 3,009 | $6K |
| 0012A | <1% | 94 | 79 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 399 | 292 | $3K |
| 0011A | <1% | 77 | 77 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,337 | 1,448 | $2K |
21 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 486 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 76 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 103 | $843.78 |
| 90756 | <1% | 39 | $654.36 | |
| 90686 | <1% | 91 | $639.09 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 52 | $275.60 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 41 | $219.32 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $171.60 |
| 92551 | <1% | 258 | $168.30 | |
| 99386 | <1% | 23 | $132.20 | |
| 99283 | Emergency room visit (moderate) | <1% | 4,052 | $119.13 |
| 99385 | <1% | 49 | $114.10 | |
| 81002 | <1% | 250 | $45.15 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 42 | $43.85 |
| 81025 | <1% | 13 | $36.40 | |
| 85018 | <1% | 27 | $2.07 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 73 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | $0.00 |
| 99442 | 0% | 35 | $0.00 | |
| 99173 | 0% | 72 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 31 | $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 officialLUPTON, GRAYLAN (CHIEF EXECUTIVE OFFICER)