Clinic
Wheeler Clinic INC
Wheeler Clinic INC was paid $102.75M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoWHEELER CLINIC INC
PLAINVILLE, CT 06062
PLAINVILLE, CT 06062
33aNPI1396750840assigned 07/30/2006
28Total paid$102.75M
24GClaims1,260,008
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Connecticut
Rank by total paid#1 of 103
Median peer was paid$184K
This provider vs. median557×
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 | 135,654 | $10.32M | |
| 2019 | 140,978 | $9.83M | |
| 2020 | 164,946 | $12.95M | |
| 2021 | 186,525 | $14.84M | |
| 2022 | 198,571 | $16.24M | |
| 2023 | 231,740 | $19.79M | |
| 2024incomplete | 201,594 | $18.78M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 81% | 578,480 | 323,295 | $82.80M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 9.0% | 60,309 | 10,259 | $9.27M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 1.9% | 33,137 | 8,671 | $2.00M |
| S9485 | Crisis intervention mental health services, per diem | 1.5% | 9,711 | 8,722 | $1.49M |
| H2012 | Behavioral health day treatment, per hour | 1.4% | 20,859 | 2,658 | $1.46M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 39,268 | 29,078 | $1.39M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 29,294 | 20,972 | $733K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 165,219 | 99,189 | $686K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 58,527 | 39,324 | $661K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 36,558 | 9,767 | $573K |
| 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% | 56,153 | 44,915 | $532K |
| 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% | 22,227 | 18,420 | $291K |
72 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 67,374 | $274K |
| S9484 | Crisis intervention mental health services, per hour | <1% | 2,480 | $157K |
| 90837 | Psychotherapy session, about an hour | <1% | 26,341 | $131K |
| 98968 | <1% | 3,492 | $58K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 8,777 | $51K |
| 0359T | <1% | 60 | $49K | |
| 98967 | <1% | 2,589 | $46K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,254 | $38K |
| S9480 | Intensive outpatient psychiatric services, per diem | <1% | 4,830 | $30K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 641 | $18K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 2,635 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,323 | $4K |
| G0467 | Community health center visit, returning patient | <1% | 1,337 | $1K |
| 90849 | <1% | 14 | $255.92 | |
| 80305 | <1% | 229 | $226.60 | |
| D0330 | Panoramic radiographic image | 0% | 1,526 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 1,957 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 2,117 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 207 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 2,497 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 547 | $0.00 |
| 90670 | 0% | 152 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 77 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 536 | $0.00 |
| 99201 | 0% | 66 | $0.00 | |
| 90633 | 0% | 91 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 32 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 17 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | $0.00 |
| 99173 | 0% | 211 | $0.00 | |
| 99382 | 0% | 152 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 23 | $0.00 |
| D2140 | 0% | 35 | $0.00 | |
| 90648 | 0% | 100 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 264 | $0.00 |
| 90681 | 0% | 31 | $0.00 | |
| 90655 | 0% | 58 | $0.00 | |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 mental health visit | 0% | 16 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 94 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 21 | $0.00 |
| 90700 | 0% | 14 | $0.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 19 | $0.00 |
| 90649 | 0% | 50 | $0.00 | |
| 90715 | 0% | 27 | $0.00 | |
| D2940 | 0% | 17 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 16 | $0.00 |
| 90734 | 0% | 52 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| D0602 | 0% | 52 | $0.00 | |
| D0601 | 0% | 40 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 845 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 3,008 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 401 | $0.00 |
| D0603 | 0% | 101 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 748 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 1,486 | $0.00 |
| 96127 | 0% | 303 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 237 | $0.00 |
| 99381 | 0% | 48 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 382 | $0.00 |
| 90723 | 0% | 96 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 99406 | 0% | 234 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 161 | $0.00 |
| 90656 | 0% | 173 | $0.00 | |
| 99384 | 0% | 96 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 42 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 15 | $0.00 |
| 99383 | 0% | 222 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 73 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 51 | $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 officialHESS, MARY (DIRECTOR RESEARCH DEVELOPEMENT)