Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Core Health and Wellness Center

Core Health and Wellness Center was paid $2.52M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoCORE HEALTH AND WELLNESS CENTER
WASHINGTON, DC 20020
33aNPI1467774547assigned 02/17/2010
28Total paid$2.52M
24GClaims48,701
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in District of Columbia

Rank by total paid#4 of 62
Median peer was paid$25K
This provider vs. median101×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20187,527$415K
20198,054$377K
20206,071$283K
20219,050$433K
20227,484$517K
20237,184$340K
2024incomplete3,331$158K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54% 20,086 16,468 $1.35M
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 22% 5,556 5,059 $552K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6.3% 1,542 1,490 $158K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.0% 780 735 $102K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.1% 1,714 1,531 $77K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.8% 778 738 $69K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.3% 311 288 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.1% 1,837 1,735 $27K
99385 1.0% 224 218 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 270 250 $25K
36415 Collection of venous blood by venipuncture <1% 7,795 7,264 $23K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 167 165 $15K
19 more codes
99173 <1% 4,593 $15K
90472 Immunization administration, each additional vaccine (list separately) <1% 718 $13K
99204 Doctor's office visit, new patient (more involved) <1% 66 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 631 $7K
92551 <1% 574 $7K
99203 Doctor's office visit, new patient (routine) <1% 50 $5K
99441 <1% 112 $2K
99386 <1% 12 $1K
99383 <1% 12 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 44 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 60 $963.23
V5008 Hearing screening <1% 19 $453.45
99000 <1% 476 $331.27
96127 <1% 48 $294.55
90686 0% 81 $0.00
90670 0% 12 $0.00
90658 0% 68 $0.00
99499 0% 53 $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 officialWILDER, GLORIA (CEO)