Physician
Wellcare Physicians Group LLC
Wellcare Physicians Group LLC was paid $962K by Medicaid between Jan 2018 and May 2023, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoWELLCARE PHYSICIANS GROUP LLC
MAUMEE, OH 43537
MAUMEE, OH 43537
33aNPI1558567636assigned 06/25/2007
33bProvider typeInternal Medicine Physician
28Total paid$962K
24GClaims25,525
24DCodes billed33
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#54 of 663
Median peer was paid$17K
This provider vs. median55×
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 | |
|---|---|---|---|
| 2018 | 4,639 | $193K | |
| 2019 | 5,349 | $230K | |
| 2020 | 3,884 | $170K | |
| 2021 | 5,139 | $195K | |
| 2022 | 5,151 | $150K | |
| 2023 | 1,363 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 67% | 15,610 | 13,341 | $645K |
| 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 | 17% | 3,288 | 3,040 | $168K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.8% | 604 | 516 | $37K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.1% | 1,370 | 1,244 | $29K |
| 76830 | Ultrasound, transvaginal | 1.9% | 289 | 280 | $18K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 2,427 | 2,038 | $13K |
| 20610 | <1% | 286 | 183 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 130 | 130 | $8K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 94 | 62 | $7K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 171 | 151 | $5K |
| 76801 | <1% | 39 | 37 | $2K | |
| 90686 | <1% | 208 | 206 | $2K |
21 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 140 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 47 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 55 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 111 | $2K |
| S0612 | Annual gynecological examination, established patient | <1% | 26 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 18 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 141 | $1K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 14 | $977.24 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 14 | $867.17 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 65 | $633.96 |
| 93000 | <1% | 45 | $538.84 | |
| 99221 | <1% | 12 | $424.99 | |
| 93272 | <1% | 17 | $370.72 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 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 | <1% | 41 | $327.29 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | $284.13 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $271.48 |
| 96127 | <1% | 52 | $172.11 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $134.59 |
| 81025 | <1% | 12 | $78.16 | |
| 99024 | 0% | 131 | $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 officialBURMEISTER, KERRY (ADMINISTRATIVE DIRECTOR, FINANCE)