Physician
Health Concepts Wellness Care LLC
Health Concepts Wellness Care LLC was paid $13K by Medicaid between Jan 2018 and Apr 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoHEALTH CONCEPTS WELLNESS CARE LLC
RAPID CITY, SD 57702
RAPID CITY, SD 57702
33aNPI1295962033assigned 06/19/2009
33bProvider typeSurgery Physician
28Total paid$13K
24GClaims465
24DCodes billed2
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Surgery Physician providers in South Dakota
Rank by total paid#5 of 10
Median peer was paid$6K
This provider vs. median2.2×
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 | 377 | $10K | |
| 2019 | 88 | $3K |
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 | 81% | 363 | 292 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 19% | 102 | 51 | $3K |
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 officialKRUSE, LISA (BILLING MANAGER)