Agency
Essential Wellcare
Essential Wellcare was paid $4K by Medicaid between Dec 2023 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoESSENTIAL WELLCARE
CARENCRO, LA 70520
CARENCRO, LA 70520
33aNPI1841932563assigned 04/12/2022
33bProvider typeNursing Care Agency
28Total paid$4K
24GClaims115
24DCodes billed4
24AFirst – last monthDec 2023 – Nov 2024
Compared with peers
Next to other Nursing Care Agency providers in Louisiana
Rank by total paid#27 of 28
Median peer was paid$2.91M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 47 | $2K | |
| 2024incomplete | 68 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 62% | 68 | 51 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 30% | 15 | 15 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.8% | 16 | 16 | $157.50 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.8% | 16 | 16 | $157.50 |
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 officialPICKNEY, SHERELLE (CEO)