Physician
Wellcare of BX Medical PC
Wellcare of BX Medical PC was paid $357K by Medicaid between Dec 2022 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoWELLCARE OF BX MEDICAL PC
BRONX, NY 10458
BRONX, NY 10458
33aNPI1851848618assigned 09/08/2016
33bProvider typeFamily Medicine Physician
28Total paid$357K
24GClaims6,508
24DCodes billed29
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#278 of 2,605
Median peer was paid$10K
This provider vs. median35×
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 | |
|---|---|---|---|
| 2022 | 106 | $6K | |
| 2023 | 2,158 | $133K | |
| 2024incomplete | 4,244 | $218K |
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 | 28% | 1,457 | 1,133 | $100K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 16% | 1,073 | 829 | $56K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 9.3% | 337 | 232 | $33K |
| 76830 | Ultrasound, transvaginal | 9.2% | 351 | 351 | $33K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 8.8% | 377 | 376 | $31K |
| 99457 | 3.5% | 332 | 332 | $13K | |
| 99454 | 3.5% | 321 | 321 | $12K | |
| 99458 | 2.8% | 332 | 332 | $10K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 2.7% | 103 | 103 | $10K |
| 99487 | Ccm add 20min | 2.6% | 130 | 130 | $9K |
| 69210 | 2.1% | 193 | 192 | $8K | |
| 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 | 1.8% | 68 | 62 | $6K |
17 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.7% | 55 | $6K |
| 93970 | 1.4% | 61 | $5K | |
| 99490 | Ccm add 20min | 1.3% | 88 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.2% | 25 | $4K |
| 76536 | 1.0% | 42 | $4K | |
| 93000 | <1% | 212 | $2K | |
| 94010 | <1% | 90 | $2K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 157 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 99385 | <1% | 12 | $871.52 | |
| 99497 | <1% | 25 | $656.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $207.05 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 289 | $127.36 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 289 | $122.67 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 39 | $108.40 |
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 officialKHANDROS, SVETLANA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Southern Wellcare Medical PC | Bronx, NY | $1.44M |
| Health and Wellness Medical Care PC | Jamaica, NY | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.