Physician
Wellcare INC
Wellcare INC was paid $232K by Medicaid between Nov 2022 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoWELLCARE INC
LAVALE, MD 21502
LAVALE, MD 21502
33aNPI1912667734assigned 12/20/2021
33bProvider typeFamily Medicine Physician
28Total paid$232K
24GClaims3,251
24DCodes billed8
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Maryland
Rank by total paid#100 of 287
Median peer was paid$78K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2022 | 187 | $15K | |
| 2023 | 1,620 | $113K | |
| 2024incomplete | 1,444 | $104K |
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 | 54% | 1,519 | 1,363 | $126K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 463 | 425 | $43K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 8.7% | 314 | 280 | $20K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.4% | 412 | 363 | $17K |
| 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 | 6.4% | 125 | 114 | $15K |
| 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 | 3.0% | 50 | 45 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 337 | 311 | $4K |
| 87807 | <1% | 31 | 29 | $329.56 |
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 officialWEIMER, DAVE (PRESIDENT)