Physician
Wellmont Medical Associates, INC.
Wellmont Medical Associates, INC. was paid $934K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoWELLMONT MEDICAL ASSOCIATES, INC.
ROGERSVILLE, TN 37857
ROGERSVILLE, TN 37857
33aNPI1689032575assigned 02/05/2016
33bProvider typeInternal Medicine Physician
28Total paid$934K
24GClaims18,602
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#39 of 581
Median peer was paid$15K
This provider vs. median62×
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 | 1,446 | $82K | |
| 2019 | 2,405 | $115K | |
| 2020 | 1,328 | $72K | |
| 2021 | 2,317 | $180K | |
| 2022 | 3,381 | $148K | |
| 2023 | 4,276 | $181K | |
| 2024incomplete | 3,449 | $155K |
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 | 65% | 6,836 | 6,003 | $609K |
| 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 | 22% | 2,301 | 2,082 | $202K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.2% | 708 | 492 | $49K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.5% | 703 | 671 | $32K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 148 | 134 | $13K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 1,486 | 1,373 | $11K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 370 | 361 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | 34 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 86 | 70 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,381 | 619 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,031 | 941 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 111 | 87 | $1K |
7 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 officialGELARDI, JENNIFER (DIRECTOR OF PROFESSIONAL BILLING)
| Provider | Location | Paid |
|---|---|---|
| Wellmont Medical Associates, INC. | Kingsport, TN | $1.92M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.