Medicaid Provider Spending

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

WELLMED MEDICAL GROUP, PA

NPI: 1437156486 · SAN ANTONIO, TX 78228 · Rheumatology Physician · NPI assigned 07/06/2005

$581K
Total Medicaid Paid
40,281
Total Claims
34,334
Beneficiaries
62
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialHERNANDEZ, CARLOS (DIRECTOR)
NPI Enumeration Date07/06/2005

Related Entities

Other providers sharing the same authorized official: HERNANDEZ, CARLOS

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 591 $7K
2019 4,275 $4K
2020 2,095 $12K
2021 2,337 $19K
2022 20,304 $320K
2023 10,679 $220K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,919 4,507 $112K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,392 1,352 $99K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,191 1,169 $80K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,839 2,658 $77K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,013 989 $67K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 647 613 $41K
90460 Immunization administration through 18 years of age via any route, first or only component 6,922 2,928 $37K
87428 311 295 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 398 384 $12K
92552 852 845 $8K
92551 1,720 1,704 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 333 320 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 547 492 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 587 333 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 299 282 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 216 207 $3K
90461 1,393 1,152 $2K
93922 118 118 $529.50
99334 45 38 $482.50
90674 30 28 $340.08
90651 269 259 $204.64
99307 85 54 $190.31
93000 125 125 $173.58
87807 14 12 $132.00
90686 1,188 1,175 $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 17 17 $46.32
90734 392 378 $22.00
90680 219 213 $21.00
90620 236 222 $15.00
90633 129 127 $11.00
90648 445 430 $11.00
2000F 1,026 955 $0.00
36415 Collection of venous blood by venipuncture 1,364 1,300 $0.00
3044F 17 13 $0.00
96127 836 805 $0.00
1126F 931 886 $0.00
90716 184 178 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 57 54 $0.00
90688 50 50 $0.00
90723 357 345 $0.00
1170F 192 184 $0.00
1125F 12 12 $0.00
1036F 31 26 $0.00
1101F 115 115 $0.00
99000 45 44 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 92 92 $0.00
1000F 46 46 $0.00
G0008 Administration of influenza virus vaccine 50 50 $0.00
90647 24 24 $0.00
90670 539 523 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,327 1,211 $0.00
90715 58 54 $0.00
90707 171 165 $0.00
99173 3,026 2,947 $0.00
1090F 162 161 $0.00
3288F 209 207 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 101 97 $0.00
99080 68 65 $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 12 12 $0.00
3725F 131 130 $0.00
90685 37 37 $0.00
G0444 Annual depression screening, 5 to 15 minutes 120 120 $0.00