Physician
Wellmont Medical Associates INC
Wellmont Medical Associates INC was paid $24.54M by Medicaid between Jan 2018 and Dec 2024, across 160 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoWELLMONT MEDICAL ASSOCIATES INC
BIG STONE GAP, VA 24219
BIG STONE GAP, VA 24219
33aNPI1174808216assigned 10/20/2011
33bProvider typeFamily Medicine Physician
28Total paid$24.54M
24GClaims772,345
24DCodes billed160
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#2 of 772
Median peer was paid$13K
This provider vs. median1,873×
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 | 53,189 | $1.39M | |
| 2019 | 116,743 | $3.73M | |
| 2020 | 86,652 | $2.91M | |
| 2021 | 94,624 | $3.89M | |
| 2022 | 151,533 | $4.25M | |
| 2023 | 148,686 | $4.46M | |
| 2024incomplete | 120,918 | $3.90M |
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 | 34% | 161,696 | 146,971 | $8.34M |
| 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 | 29% | 116,413 | 103,349 | $7.17M |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.4% | 11,271 | 10,152 | $1.32M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.9% | 16,214 | 15,545 | $708K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 7,043 | 6,876 | $548K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.2% | 16,164 | 15,429 | $539K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.0% | 6,111 | 5,829 | $480K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 6,478 | 5,900 | $455K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 33,128 | 15,621 | $444K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 5,313 | 5,015 | $367K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.3% | 8,901 | 3,013 | $331K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 3,678 | 3,603 | $284K |
148 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 20,311 | $277K |
| 3078F | <1% | 46,544 | $179K | |
| 3074F | <1% | 44,134 | $170K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,535 | $134K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 8,716 | $126K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,435 | $120K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,631 | $111K |
| 80053 | Comprehensive metabolic panel | <1% | 21,361 | $109K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 20,889 | $107K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,163 | $91K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 4,164 | $91K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,946 | $89K |
| 80061 | Lipid panel | <1% | 9,990 | $87K |
| 95886 | <1% | 1,314 | $84K | |
| 90686 | <1% | 7,224 | $82K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,683 | $75K |
| 27096 | <1% | 1,036 | $73K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,234 | $73K |
| 64635 | <1% | 404 | $66K | |
| 76830 | Ultrasound, transvaginal | <1% | 727 | $64K |
| 90670 | <1% | 4,623 | $63K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 38,404 | $52K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,134 | $49K |
| 62323 | <1% | 761 | $48K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,276 | $46K |
| 3075F | <1% | 10,926 | $45K | |
| 99188 | <1% | 2,170 | $44K | |
| 90648 | <1% | 4,214 | $43K | |
| 3077F | <1% | 11,103 | $42K | |
| 90723 | <1% | 3,524 | $42K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 7,060 | $39K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 832 | $38K |
| 80050 | General health panel | <1% | 2,984 | $38K |
| 64493 | <1% | 462 | $38K | |
| 90677 | <1% | 716 | $34K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 3,146 | $33K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 724 | $28K |
| 3079F | <1% | 9,136 | $26K | |
| 87634 | <1% | 366 | $25K | |
| 90633 | <1% | 2,111 | $24K | |
| 4010F | <1% | 10,567 | $23K | |
| 64494 | <1% | 449 | $21K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 197 | $19K |
| 90681 | <1% | 1,392 | $17K | |
| 20553 | <1% | 484 | $16K | |
| 99223 | Prolong inpt eval add15 m | <1% | 248 | $16K |
| 90651 | <1% | 767 | $15K | |
| 82728 | <1% | 1,783 | $14K | |
| 90710 | <1% | 1,031 | $14K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 181 | $14K |
| 99442 | <1% | 406 | $14K | |
| 73630 | <1% | 620 | $14K | |
| 82607 | <1% | 1,434 | $13K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,139 | $13K |
| 3080F | <1% | 3,420 | $12K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 854 | $12K |
| 81003 | <1% | 6,227 | $12K | |
| 83550 | <1% | 2,507 | $12K | |
| 73610 | <1% | 455 | $11K | |
| 87807 | <1% | 817 | $10K | |
| 73130 | <1% | 378 | $10K | |
| 95913 | <1% | 68 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,543 | $9K |
| 83540 | <1% | 2,540 | $9K | |
| 99335 | <1% | 498 | $9K | |
| 94729 | <1% | 300 | $8K | |
| 95117 | <1% | 1,162 | $8K | |
| 90734 | <1% | 522 | $8K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 216 | $7K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 523 | $7K |
| 90674 | <1% | 280 | $7K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,074 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 90 | $6K |
| 99443 | <1% | 105 | $6K | |
| 94726 | <1% | 225 | $6K | |
| 81025 | <1% | 943 | $6K | |
| 94060 | <1% | 229 | $6K | |
| 99205 | Prolong outpt/office vis | <1% | 51 | $6K |
| 85027 | <1% | 1,431 | $6K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 99 | $6K |
| 76818 | <1% | 50 | $5K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 501 | $5K |
| 73562 | <1% | 166 | $5K | |
| 99221 | <1% | 164 | $5K | |
| 90647 | <1% | 461 | $5K | |
| 95912 | <1% | 27 | $4K | |
| 90696 | <1% | 336 | $4K | |
| 73110 | <1% | 141 | $4K | |
| 90700 | <1% | 339 | $4K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 64 | $4K |
| 72100 | <1% | 146 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 7,814 | $3K |
| 90680 | <1% | 256 | $3K | |
| 99441 | <1% | 149 | $3K | |
| 90715 | <1% | 171 | $3K | |
| 90707 | <1% | 196 | $3K | |
| 99348 | <1% | 116 | $2K | |
| 84439 | <1% | 488 | $2K | |
| 99386 | <1% | 31 | $2K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 12 | $2K |
| 90716 | <1% | 149 | $2K | |
| 90620 | <1% | 83 | $2K | |
| 59025 | Fetal non-stress test | <1% | 57 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 20 | $2K |
| 83615 | <1% | 474 | $2K | |
| 99406 | <1% | 210 | $2K | |
| 95811 | <1% | 31 | $1K | |
| 95910 | <1% | 12 | $1K | |
| 3044F | <1% | 353 | $1K | |
| 73030 | <1% | 56 | $1K | |
| 86308 | <1% | 228 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,572 | $1K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 27 | $1K |
| 81002 | <1% | 396 | $1K | |
| 64636 | <1% | 33 | $1K | |
| 94618 | <1% | 53 | $1K | |
| 90461 | <1% | 3,790 | $921.94 | |
| 86318 | <1% | 84 | $910.20 | |
| 83735 | <1% | 212 | $889.15 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 114 | $839.97 |
| 64495 | <1% | 13 | $830.31 | |
| 0352U | <1% | 32 | $801.15 | |
| 95806 | <1% | 25 | $697.40 | |
| 82746 | <1% | 68 | $653.46 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 26 | $645.20 |
| 99201 | <1% | 22 | $569.41 | |
| 90661 | <1% | 32 | $491.47 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 26 | $394.77 |
| 81001 | <1% | 158 | $381.28 | |
| 85007 | <1% | 129 | $365.41 | |
| 0011A | <1% | 13 | $335.20 | |
| 90688 | <1% | 30 | $327.26 | |
| 74018 | <1% | 13 | $292.72 | |
| 94010 | <1% | 27 | $256.18 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 197 | $218.56 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 112 | $213.95 |
| 93000 | <1% | 12 | $147.51 | |
| G0008 | Administration of influenza virus vaccine | <1% | 310 | $145.73 |
| 85018 | <1% | 62 | $124.69 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 31 | $123.10 |
| 84481 | <1% | 13 | $104.99 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 35 | $98.46 |
| 85014 | <1% | 16 | $34.56 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 14 | $23.16 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 16 | $20.19 |
| 36416 | <1% | 13 | $8.41 | |
| 0502F | 0% | 525 | $0.00 | |
| 90662 | 0% | 15 | $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 officialHARWOOD, JUANITA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Norton Community Physician Services LLC | Norton, VA | $6.42M |
| Wellmont Cardiology Services | Kingsport, TN | $3.06M |
| Abingdon Physician Partners | Abingdon, VA | $2.37M |
| WPS Providers INC | Kingsport, TN | $866K |
| Wellmont Medical Associates, INC. | Johnson City, TN | $673K |
| Wellmont Medical Associates INC | Greeneville, TN | $469K |
| Mountain States Health Alliance | St Paul, VA | $115K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.