Clinic
Wellmont Medical Associates, INC.
Wellmont Medical Associates, INC. was paid $373K by Medicaid between Jan 2018 and Feb 2022, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoWELLMONT MEDICAL ASSOCIATES, INC.
BRISTOL, TN 37620
BRISTOL, TN 37620
33aNPI1770942575assigned 02/22/2016
33bProvider typeUrgent Care Clinic/Center
28Total paid$373K
24GClaims6,059
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Urgent Care Clinic/Center providers in Tennessee
Rank by total paid#17 of 38
Median peer was paid$345K
This provider vs. median1.1×
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 | 1,761 | $116K | |
| 2019 | 1,298 | $76K | |
| 2020 | 1,454 | $70K | |
| 2021 | 1,448 | $107K | |
| 2022 | 98 | $4K |
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 | 51% | 2,016 | 1,756 | $190K |
| 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 | 32% | 1,305 | 1,160 | $117K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.6% | 331 | 297 | $29K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 4.8% | 251 | 128 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.6% | 333 | 285 | $13K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 51 | 50 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 16 | 16 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,064 | 479 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 692 | 647 | $619.00 |
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 | $582K |
| 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.