Physician
Wesley Medical Center LLC
Wesley Medical Center LLC was paid $2K by Medicaid between Jan 2018 and Feb 2018, across 3 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 46% of everything it billed.
33Billing provider infoWESLEY MEDICAL CENTER LLC
WICHITA, KS 67214
WICHITA, KS 67214
33aNPI1912052630assigned 01/24/2007
33bProvider typePediatric Critical Care Medicine Physician
28Total paid$2K
24GClaims62
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2018
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 | 62 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 46% | 38 | 38 | $769.88 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 12 | 12 | $490.08 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 25% | 12 | 12 | $425.46 |
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 officialCASTLEBERRY, NICOLE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Wesley Medical Center LLC | Wichita, KS | $30.22M |
| Wesley Medical Center LLC | Wichita, KS | $284K |
| Wesley Medical Center LLC | Wichita, KS | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.