Physician
Paula E. Wegert, MD, Professional LLC
Paula E. Wegert, MD, Professional LLC was paid $164K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 75% of everything it billed.
33Billing provider infoPAULA E. WEGERT, MD, PROFESSIONAL LLC
COLORADO SPRINGS, CO 80906
COLORADO SPRINGS, CO 80906
33aNPI1427289164assigned 07/29/2009
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$164K
24GClaims3,976
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Colorado
Rank by total paid#17 of 54
Median peer was paid$61K
This provider vs. median2.7×
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 | 871 | $35K | |
| 2019 | 549 | $20K | |
| 2020 | 650 | $28K | |
| 2021 | 646 | $28K | |
| 2022 | 394 | $17K | |
| 2023 | 700 | $28K | |
| 2024incomplete | 166 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 75% | 3,018 | 981 | $123K |
| 99238 | Hospital discharge day management, 30 minutes or less | 11% | 422 | 412 | $18K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 5.0% | 358 | 167 | $8K |
| 99223 | Prolong inpt eval add15 m | 3.6% | 46 | 44 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.2% | 75 | 70 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.2% | 57 | 49 | $4K |
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 officialWEGERT, PAULA (MEMBER)