Physician
Wellmed Medical Group, PA
Wellmed Medical Group, PA was paid $581K by Medicaid between Jan 2018 and Dec 2023, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoWELLMED MEDICAL GROUP, PA
SAN ANTONIO, TX 78228
SAN ANTONIO, TX 78228
33aNPI1437156486assigned 07/06/2005
33bProvider typeRheumatology Physician
28Total paid$581K
24GClaims40,281
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Rheumatology Physician providers in Texas
Rank by total paid#4 of 45
Median peer was paid$12K
This provider vs. median49×
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 | 591 | $7K | |
| 2019 | 4,275 | $4K | |
| 2020 | 2,095 | $12K | |
| 2021 | 2,337 | $19K | |
| 2022 | 20,304 | $320K | |
| 2023 | 10,679 | $220K |
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 | 19% | 4,919 | 4,507 | $112K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 17% | 1,392 | 1,352 | $99K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 1,191 | 1,169 | $80K |
| 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% | 2,839 | 2,658 | $77K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,013 | 989 | $67K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 647 | 613 | $41K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.3% | 6,922 | 2,928 | $37K |
| 87428 | 2.5% | 311 | 295 | $14K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.1% | 398 | 384 | $12K |
| 92552 | 1.4% | 852 | 845 | $8K | |
| 92551 | 1.3% | 1,720 | 1,704 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 333 | 320 | $7K |
50 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 547 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 587 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 299 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 216 | $3K |
| 90461 | <1% | 1,393 | $2K | |
| 93922 | <1% | 118 | $529.50 | |
| 99334 | <1% | 45 | $482.50 | |
| 90674 | <1% | 30 | $340.08 | |
| 90651 | <1% | 269 | $204.64 | |
| 99307 | <1% | 85 | $190.31 | |
| 93000 | <1% | 125 | $173.58 | |
| 87807 | <1% | 14 | $132.00 | |
| 90686 | <1% | 1,188 | $81.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 17 | $46.32 |
| 90734 | <1% | 392 | $22.00 | |
| 90680 | <1% | 219 | $21.00 | |
| 90620 | <1% | 236 | $15.00 | |
| 90633 | <1% | 129 | $11.00 | |
| 90648 | <1% | 445 | $11.00 | |
| 2000F | 0% | 1,026 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,364 | $0.00 |
| 3044F | 0% | 17 | $0.00 | |
| 96127 | 0% | 836 | $0.00 | |
| 1126F | 0% | 931 | $0.00 | |
| 90716 | 0% | 184 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 57 | $0.00 |
| 90688 | 0% | 50 | $0.00 | |
| 90723 | 0% | 357 | $0.00 | |
| 1170F | 0% | 192 | $0.00 | |
| 1125F | 0% | 12 | $0.00 | |
| 1036F | 0% | 31 | $0.00 | |
| 1101F | 0% | 115 | $0.00 | |
| 99000 | 0% | 45 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 92 | $0.00 |
| 1000F | 0% | 46 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 50 | $0.00 |
| 90647 | 0% | 24 | $0.00 | |
| 90670 | 0% | 539 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,327 | $0.00 |
| 90715 | 0% | 58 | $0.00 | |
| 90707 | 0% | 171 | $0.00 | |
| 99173 | 0% | 3,026 | $0.00 | |
| 1090F | 0% | 162 | $0.00 | |
| 3288F | 0% | 209 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 101 | $0.00 |
| 99080 | 0% | 68 | $0.00 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 12 | $0.00 |
| 3725F | 0% | 131 | $0.00 | |
| 90685 | 0% | 37 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 120 | $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 officialHERNANDEZ, CARLOS (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Jewish Family and Children's Service of Southern Arizona, INC | Tucson, AZ | $5.80M |
| Solace Hospice Care, LLC | College Station, TX | $913K |
| Carlos Hernandez, M.D., P.A. | Eagle Pass, TX | $330K |
| Pasadena Obgyn MD PA | Pasadena, TX | $140K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.