Physician
Wellmont Medical Associates, INC.
Wellmont Medical Associates, INC. was paid $582K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoWELLMONT MEDICAL ASSOCIATES, INC.
BRISTOL, TN 37620
BRISTOL, TN 37620
33aNPI1558812198assigned 10/19/2016
33bProvider typeInternal Medicine Physician
28Total paid$582K
24GClaims11,152
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#52 of 581
Median peer was paid$15K
This provider vs. median38×
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 | 1,093 | $89K | |
| 2019 | 1,365 | $84K | |
| 2020 | 1,269 | $71K | |
| 2021 | 1,002 | $76K | |
| 2022 | 1,985 | $92K | |
| 2023 | 3,001 | $119K | |
| 2024incomplete | 1,437 | $52K |
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 | 58% | 3,663 | 3,345 | $339K |
| 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 | 34% | 2,133 | 1,867 | $196K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.6% | 455 | 425 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 162 | 154 | $13K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.1% | 123 | 90 | $6K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 605 | 524 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 856 | 377 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 434 | 393 | $772.16 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 126 | 118 | $630.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | 14 | $5.58 |
| 3075F | 0% | 12 | 12 | $0.00 | |
| 3074F | 0% | 1,112 | 1,047 | $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 officialHALLFORD, CINDY (DIRECTOR OF PROFESSIONAL BILLING)
| Provider | Location | Paid |
|---|---|---|
| Wellmont Medical Associates, INC. | Bristol, TN | $373K |
| Wellmont Medical Associates, INC. | Gray, TN | $171K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.