Physician
Southern Wellcare Medical PC
Southern Wellcare Medical PC was paid $1.44M by Medicaid between Jan 2018 and Mar 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoSOUTHERN WELLCARE MEDICAL PC
BRONX, NY 10458
BRONX, NY 10458
33aNPI1396090932assigned 07/19/2012
33bProvider typeFamily Medicine Physician
28Total paid$1.44M
24GClaims28,655
24DCodes billed37
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#96 of 2,605
Median peer was paid$10K
This provider vs. median142×
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 | 3,992 | $207K | |
| 2019 | 4,526 | $231K | |
| 2020 | 4,994 | $238K | |
| 2021 | 4,846 | $226K | |
| 2022 | 5,153 | $272K | |
| 2023 | 4,291 | $228K | |
| 2024incomplete | 853 | $37K |
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 | 45% | 8,677 | 6,808 | $649K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 13% | 2,778 | 2,177 | $185K |
| 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 | 13% | 1,817 | 1,723 | $184K |
| 99487 | Ccm add 20min | 7.6% | 921 | 916 | $110K |
| 94010 | 3.8% | 1,766 | 1,754 | $55K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.6% | 573 | 573 | $52K |
| 93000 | 2.5% | 2,455 | 2,440 | $36K | |
| 99401 | 2.4% | 1,154 | 1,109 | $35K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 372 | 371 | $30K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.1% | 179 | 178 | $15K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 1,186 | 978 | $13K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 77 | 54 | $11K |
25 more codes
| 99490 | Ccm add 20min | <1% | 178 | $9K |
| 80305 | <1% | 708 | $7K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 165 | $7K |
| 99442 | <1% | 101 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 140 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 310 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $4K |
| 69210 | <1% | 82 | $3K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 14 | $2K |
| 90746 | <1% | 25 | $2K | |
| 90688 | <1% | 91 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,066 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 63 | $930.00 |
| 82947 | <1% | 237 | $907.39 | |
| 90656 | <1% | 36 | $712.05 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 2,022 | $647.52 |
| 99497 | <1% | 21 | $595.20 | |
| 94760 | <1% | 191 | $494.27 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 17 | $432.29 |
| 99406 | <1% | 13 | $178.92 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 32 | $46.92 |
| 36415 | Collection of venous blood by venipuncture | <1% | 124 | $44.30 |
| 81002 | <1% | 13 | $35.06 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 13 | $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 officialKHANDROS, SVETLANA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Wellcare of BX Medical PC | Bronx, NY | $357K |
| Health and Wellness Medical Care PC | Jamaica, NY | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.