Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WHEELER CLINIC INC.

NPI: 1548760119 · BRISTOL, CT 06010 · Health Service Clinic/Center · NPI assigned 02/20/2018

$21.86M
Total Medicaid Paid
441,554
Total Claims
346,194
Beneficiaries
103
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSZCZESNIAK, ATHENA (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date02/20/2018

Related Entities

Other providers sharing the same authorized official: SZCZESNIAK, ATHENA

ProviderCityStateTotal Paid
WHEELER CLINIC INC. HARTFORD CT $154K
WHEELER CLINIC INC. NEW BRITAIN CT $81K
WHEELER CLINIC INC WATERBURY CT $45K
WHEELER CLINIC INC. NEW BRITAIN CT $16K
WHEELER CLINIC INC. BRISTOL CT $11K
WHEELER CLINIC INC PLAINVILLE CT $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,652 $1.63M
2019 47,405 $2.42M
2020 47,329 $2.65M
2021 88,753 $3.91M
2022 79,319 $4.01M
2023 78,332 $3.60M
2024 71,764 $3.64M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 172,461 126,496 $21.59M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53,675 43,542 $84K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,593 22,884 $49K
98940 12,582 6,003 $41K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 620 346 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,005 4,882 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,982 4,016 $13K
G0467 Federally 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 2,369 1,824 $9K
96127 36,425 31,702 $7K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 290 196 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,223 2,935 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,710 3,181 $3K
82962 1,125 944 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,031 2,761 $2K
83036 Hemoglobin; glycosylated (A1C) 625 566 $927.14
99442 5,585 4,592 $790.93
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 220 147 $616.67
97802 1,216 1,117 $516.79
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,691 6,090 $472.34
H0049 Alcohol and/or drug screening 29,294 27,024 $300.45
97803 1,961 1,674 $273.42
80305 2,148 1,452 $223.46
99406 15,254 12,306 $212.38
91312 68 63 $186.00
91301 2,445 2,312 $115.58
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,396 2,171 $108.57
99215 Prolong outpt/office vis 653 538 $97.75
91300 970 853 $41.99
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 76 69 $35.40
99173 4,768 4,371 $9.75
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 60 56 $4.62
90460 Immunization administration through 18 years of age via any route, first or only component 8,681 7,937 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,000 1,839 $0.00
90461 2,887 2,694 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,003 931 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 478 408 $0.00
96158 509 375 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,327 1,249 $0.00
90655 184 166 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,639 1,513 $0.00
90472 Immunization administration, each additional vaccine (list separately) 76 71 $0.00
90700 75 65 $0.00
0071A 114 89 $0.00
90648 326 287 $0.00
90649 91 82 $0.00
3078F 87 82 $0.00
90670 531 491 $0.00
99382 68 61 $0.00
96152 219 60 $0.00
0003A 130 120 $0.00
0002A 343 328 $0.00
90633 392 344 $0.00
90681 112 104 $0.00
81025 26 24 $0.00
90710 21 17 $0.00
0054A 70 66 $0.00
90715 34 31 $0.00
90658 130 120 $0.00
90734 111 106 $0.00
90621 14 14 $0.00
3077F 17 17 $0.00
90791 Psychiatric diagnostic evaluation 12 12 $0.00
0124A 55 51 $0.00
90707 50 44 $0.00
91308 13 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 28 28 $0.00
90832 Psychotherapy, 30 minutes with patient 35 27 $0.00
90713 13 13 $0.00
96156 552 517 $0.00
98943 388 233 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 848 807 $0.00
90698 48 42 $0.00
90686 532 450 $0.00
90656 469 452 $0.00
99383 251 216 $0.00
92551 1,888 1,742 $0.00
3080F 17 17 $0.00
91307 198 187 $0.00
99443 110 98 $0.00
0011A 1,402 1,326 $0.00
90792 Psychiatric diagnostic evaluation with medical services 418 289 $0.00
90716 35 29 $0.00
99384 134 127 $0.00
0012A 1,151 1,079 $0.00
90688 53 52 $0.00
0001A 316 303 $0.00
0031A 98 90 $0.00
91305 215 205 $0.00
0072A 74 71 $0.00
99386 70 65 $0.00
90723 134 125 $0.00
3074F 108 105 $0.00
99385 258 238 $0.00
3075F 16 15 $0.00
90651 55 52 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 50 48 $0.00
3079F 57 56 $0.00
90480 70 68 $0.00
90696 16 15 $0.00
0052A 22 21 $0.00
99381 40 25 $0.00
90645 13 12 $0.00
93000 26 25 $0.00