WELLSURE MEDICAL PRACTICE P.C.

$1.97M

Total Medicaid Paid

51,918

Total Claims

49,676

Beneficiaries

51

Codes Billed

2019-08

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		10,147	8,631	$975K
99214		1,852	1,738	$255K
99395		1,298	1,287	$156K
99396		464	457	$59K
90471		2,917	2,833	$54K
99203		436	436	$53K
99212		792	746	$49K
99385		351	351	$47K
H0049	Alcohol/drug screening	2,472	2,462	$45K
G0444	Depression screen annual	2,362	2,359	$42K
93000		2,946	2,941	$41K
G8510	Scr dep neg, no plan reqd	3,350	3,343	$37K
99442		381	371	$28K
90674		739	739	$23K
99441		392	385	$16K
36415		6,205	6,082	$10K
90746		136	136	$10K
96127		3,119	3,110	$9K
H0001	Alcohol and/or drug assess	997	996	$9K
G0136	Adm of pa/n assess 5-15 m	442	442	$9K
90756		287	287	$9K
90661		230	230	$8K
99401		301	297	$6K
99051		583	538	$3K
0064A		60	60	$2K
83013		26	25	$2K
0124A		29	29	$1K
0134A		25	25	$773.24
99072		937	775	$766.50
3078F		275	259	$675.00
3074F		250	237	$600.00
90688		28	28	$573.14
90715		12	12	$537.80
0031A		18	18	$530.98
94010		16	16	$430.18
83014		64	63	$410.18
G0442	Annual alcohol screen 15 min	26	26	$359.97
G0447	Behavior counsel obesity 15m	15	14	$340.34
G9622	No unheal etoh user	432	432	$236.00
G0446	Intens behave ther cardio dx	12	12	$197.36
G9275	Doc of non tobacco user	944	943	$48.00
A4556	Electrodes, pair	62	62	$43.62
91312		26	26	$0.20
91306		36	36	$0.07
3008F		2,012	1,985	$0.00
1000F		536	536	$0.00
1036F		454	454	$0.00
3011F		226	220	$0.00
G8420	Calc bmi norm parameters	413	404	$0.00
91303		12	12	$0.00
3725F		1,773	1,770	$0.00

Medicaid Provider Spending