Star Wellness Center, INC
Star Wellness Center, INC was paid $108K by Medicaid between Jan 2019 and Nov 2020, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
BETHLEHEM, PA 18015
Next to other Pediatrics Physician providers in Pennsylvania
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 724 | $16K | |
| 2020 | 2,247 | $92K |
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 | 82% | 397 | 381 | $88K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 231 | 211 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 204 | 201 | $3K |
| 92551 | 2.0% | 230 | 223 | $2K | |
| 90686 | 1.8% | 243 | 241 | $2K | |
| 96127 | <1% | 12 | 12 | $66.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 66 | 65 | $20.00 |
| 99188 | <1% | 38 | 38 | $18.00 | |
| 99173 | <1% | 254 | 248 | $6.00 | |
| 83655 | 0% | 39 | 39 | $0.00 | |
| 90707 | 0% | 42 | 42 | $0.00 | |
| 90734 | 0% | 96 | 96 | $0.00 |
19 more codes
| 90633 | 0% | 141 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 53 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 27 | $0.00 |
| 90715 | 0% | 56 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 55 | $0.00 |
| 99051 | 0% | 26 | $0.00 | |
| 90670 | 0% | 135 | $0.00 | |
| 90710 | 0% | 63 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 29 | $0.00 |
| 90680 | 0% | 62 | $0.00 | |
| 90696 | 0% | 57 | $0.00 | |
| 90698 | 0% | 131 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 27 | $0.00 |
| 96161 | 0% | 16 | $0.00 | |
| 90474 | 0% | 13 | $0.00 | |
| 90651 | 0% | 97 | $0.00 | |
| 85018 | 0% | 39 | $0.00 | |
| 90744 | 0% | 52 | $0.00 | |
| 90716 | 0% | 40 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.