Clinic
The Wellness Plan Medical Centers
The Wellness Plan Medical Centers was paid $4K by Medicaid between Nov 2018 and May 2021, across 4 billing codes. Its largest line is G0467, community health center visit, returning patient — 76% of everything it billed.
33Billing provider infoTHE WELLNESS PLAN MEDICAL CENTERS
PONTIAC, MI 48341
PONTIAC, MI 48341
33aNPI1447675434assigned 02/27/2014
33bProvider typeClinic/Center
28Total paid$4K
24GClaims126
24DCodes billed4
24AFirst – last monthNov 2018 – May 2021
Compared with peers
Next to other Clinic/Center providers in Michigan
Rank by total paid#103 of 121
Median peer was paid$71K
This provider vs. median0.1×
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 | 13 | $872.17 | |
| 2020 | 33 | $1K | |
| 2021 | 80 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit | 76% | 87 | 75 | $3K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face 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 fqhc visit | 24% | 13 | 13 | $872.17 |
| 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 | 0% | 14 | 13 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 12 | 12 | $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 officialKING, ANTHONY (CEO AND EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| The Wellness Plan Medical Centers | Detroit, MI | $17.54M |
| The Wellness Plan Medical Centers | Detroit, MI | $1.44M |
| The Wellness Plan Medical Centers | Detroit, MI | $528K |
| The Wellness Plan Medical Centers | Pontiac, MI | $71K |
| The Wellness Plan Medical Centers | Detroit, MI | $11K |
| The Wellness Plan Medical Centers | Oak Park, MI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.