WELLCARE MEDICAL CLINIC LLC
NPI: 1528794401
· GAMBRILLS, MD 21054
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 07/25/2022
$266K
Total Medicaid Paid
Provider Details
| Authorized Official | CHEEMA, SADIA (PROVIDER) |
| NPI Enumeration Date | 07/25/2022 |
Related Entities
Other providers sharing the same authorized official: CHEEMA, SADIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
67 |
$9K |
| 2023 |
651 |
$90K |
| 2024 |
1,647 |
$167K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,582 |
1,256 |
$211K |
| 90834 |
Psychotherapy, 45 minutes with patient |
309 |
130 |
$28K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
326 |
275 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
54 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$3K |
| 80305 |
|
66 |
54 |
$661.32 |