Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHERN WELLCARE MEDICAL PC

NPI: 1396090932 · BRONX, NY 10458 · Family Medicine Physician · NPI assigned 07/19/2012

$1.44M
Total Medicaid Paid
28,655
Total Claims
24,853
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialKHANDROS, SVETLANA (PRESIDENT)
NPI Enumeration Date07/19/2012

Related Entities

Other providers sharing the same authorized official: KHANDROS, SVETLANA

ProviderCityStateTotal Paid
WELLCARE OF BX MEDICAL PC BRONX NY $357K
HEALTH AND WELLNESS MEDICAL CARE PC JAMAICA NY $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 853 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,677 6,808 $649K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,778 2,177 $185K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,817 1,723 $184K
99487 Ccm add 20min 921 916 $110K
94010 1,766 1,754 $55K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 573 573 $52K
93000 2,455 2,440 $36K
99401 1,154 1,109 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 372 371 $30K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 179 178 $15K
T1013 Sign language or oral interpretive services, per 15 minutes 1,186 978 $13K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 77 54 $11K
99490 Ccm add 20min 178 178 $9K
80305 708 689 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 165 163 $7K
99442 101 98 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 140 124 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 310 289 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $4K
69210 82 82 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14 14 $2K
90746 25 25 $2K
90688 91 91 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,066 1,654 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
G0444 Annual depression screening, 5 to 15 minutes 63 63 $930.00
82947 237 232 $907.39
90656 36 36 $712.05
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,022 1,628 $647.52
99497 21 21 $595.20
94760 191 141 $494.27
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 17 17 $432.29
99406 13 13 $178.92
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 32 29 $46.92
36415 Collection of venous blood by venipuncture 124 123 $44.30
81002 13 12 $35.06
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 13 12 $0.00