Clinic
Heart Wellness Clinic INC.
Heart Wellness Clinic INC. was paid $346K by Medicaid between Nov 2018 and Nov 2024, across 14 billing codes. Its largest line is 99497, — 34% of everything it billed.
33Billing provider infoHEART WELLNESS CLINIC INC.
CLAREMONT, CA 91711
CLAREMONT, CA 91711
33aNPI1962921981assigned 09/11/2017
33bProvider typePrimary Care Clinic/Center
28Total paid$346K
24GClaims10,216
24DCodes billed14
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#88 of 422
Median peer was paid$25K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2018 | 61 | $92.46 | |
| 2019 | 383 | $4K | |
| 2020 | 777 | $24K | |
| 2021 | 1,336 | $47K | |
| 2022 | 2,300 | $79K | |
| 2023 | 3,472 | $108K | |
| 2024incomplete | 1,887 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99497 | 34% | 2,789 | 2,468 | $117K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 23% | 1,540 | 1,350 | $81K |
| 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 | 18% | 1,472 | 1,370 | $62K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 8.5% | 920 | 786 | $29K |
| 99349 | 4.5% | 825 | 772 | $15K | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 4.5% | 884 | 881 | $15K |
| 99406 | 2.5% | 1,028 | 940 | $9K | |
| 99350 | Prolong home eval add 15m | 2.2% | 305 | 268 | $8K |
| 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 | 1.6% | 85 | 85 | $6K |
| 99386 | <1% | 12 | 12 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | 14 | $1K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 101 | 99 | $730.59 |
2 more codes
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 officialAMAJOYI, BARBARA (CEO)