Behavioral
Wellcare INC.
Wellcare INC. was paid $5.84M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 42% of everything it billed.
33Billing provider infoWELLCARE INC.
COLORADO SPRINGS, CO 80918
COLORADO SPRINGS, CO 80918
33aNPI1639535206assigned 01/12/2016
33bProvider typeBehavioral Analyst
28Total paid$5.84M
24GClaims94,826
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Colorado
Rank by total paid#6 of 114
Median peer was paid$189K
This provider vs. median31×
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 | 13,849 | $610K | |
| 2019 | 20,871 | $1.06M | |
| 2020 | 12,830 | $712K | |
| 2021 | 12,933 | $795K | |
| 2022 | 12,525 | $945K | |
| 2023 | 11,784 | $925K | |
| 2024incomplete | 10,034 | $790K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 42% | 29,802 | 6,363 | $2.48M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 19% | 16,516 | 3,816 | $1.09M |
| 97535 | Self-care/home management training, each 15 minutes | 13% | 18,619 | 4,370 | $777K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 12% | 11,295 | 2,665 | $674K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 5.8% | 6,163 | 1,298 | $341K |
| 97533 | 4.6% | 7,659 | 1,836 | $270K | |
| G0515 | Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes | 1.7% | 1,967 | 597 | $98K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.4% | 1,918 | 380 | $79K |
| 97129 | <1% | 552 | 187 | $13K | |
| 92523 | <1% | 49 | 47 | $7K | |
| 97130 | <1% | 137 | 39 | $5K | |
| 97116 | <1% | 90 | 29 | $1K |
2 more codes
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 officialCAMPBELL, TIM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Wellcare INC. | Colorado Springs, CO | $1.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.