Physician
Wellington Provider Group PC
Wellington Provider Group PC was paid $242K by Medicaid between Mar 2022 and Feb 2023, across 13 billing codes. Its largest line is 87811, Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) — 42% of everything it billed.
33Billing provider infoWELLINGTON PROVIDER GROUP PC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1457012205assigned 01/04/2022
33bProvider typeGeneral Practice Physician
28Total paid$242K
24GClaims20,534
24DCodes billed13
24AFirst – last monthMar 2022 – Feb 2023
Compared with peers
Next to other General Practice Physician providers in Kentucky
Rank by total paid#7 of 25
Median peer was paid$50K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2022 | 19,537 | $229K | |
| 2023 | 997 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 42% | 6,204 | 3,495 | $100K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 1,903 | 1,556 | $57K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 16% | 3,004 | 1,979 | $39K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 5.5% | 2,997 | 1,974 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 579 | 404 | $10K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.6% | 160 | 115 | $9K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.9% | 77 | 52 | $5K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1.4% | 5,235 | 4,536 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 144 | 97 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 143 | 70 | $1K |
| 87634 | <1% | 13 | 13 | $634.52 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 14 | 13 | $530.46 |
1 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 61 | $293.74 |
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 officialDENNIS, BRITTANY (BILLING/CREDENTIALING MANAGER)
Parent organizationWELLINGTON PROVIDER GROUP PC
| Provider | Location | Paid |
|---|---|---|
| Wellington Provider Group PC | Lexington, KY | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.