Medicaid Provider Spending

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

WELLCARE PHYSICIANS GROUP LLC

NPI: 1558567636 · MAUMEE, OH 43537 · Internal Medicine Physician · NPI assigned 06/25/2007

$962K
Total Medicaid Paid
25,525
Total Claims
21,975
Beneficiaries
33
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialBURMEISTER, KERRY (ADMINISTRATIVE DIRECTOR, FINANCE)
NPI Enumeration Date06/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,639 $193K
2019 5,349 $230K
2020 3,884 $170K
2021 5,139 $195K
2022 5,151 $150K
2023 1,363 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,610 13,341 $645K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,288 3,040 $168K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 604 516 $37K
99308 Subsequent nursing facility care, per day, straightforward 1,370 1,244 $29K
76830 Ultrasound, transvaginal 289 280 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,427 2,038 $13K
20610 286 183 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 130 130 $8K
90837 Psychotherapy, 53 minutes with patient 94 62 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 171 151 $5K
76801 39 37 $2K
90686 208 206 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 140 138 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 47 27 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 55 53 $2K
99233 Prolong inpt eval add15 m 111 40 $2K
S0612 Annual gynecological examination, established patient 26 26 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 12 $1K
99232 Subsequent hospital care, per day, moderate complexity 141 40 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 14 12 $977.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $867.17
J1030 Injection, methylprednisolone acetate, 40 mg 65 55 $633.96
93000 45 36 $538.84
99221 12 12 $424.99
93272 17 16 $370.72
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $351.51
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 41 36 $327.29
99222 Initial hospital care, per day, moderate complexity 26 18 $284.13
99238 Hospital discharge day management, 30 minutes or less 13 13 $271.48
96127 52 49 $172.11
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 12 $134.59
81025 12 12 $78.16
99024 131 112 $0.00