Managed care
Wellcare Acupuncture P.C.
Wellcare Acupuncture P.C. was paid $2.67M by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 29% of everything it billed.
33Billing provider infoWELLCARE ACUPUNCTURE P.C.
NEW YORK, NY 10038
NEW YORK, NY 10038
33aNPI1972847762assigned 11/16/2012
33bProvider typeHealth Maintenance Organization
28Total paid$2.67M
24GClaims76,081
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Health Maintenance Organization providers in New York
Rank by total paid#8 of 28
Median peer was paid$159K
This provider vs. median17×
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 | 14,384 | $313K | |
| 2019 | 24,485 | $718K | |
| 2020 | 6,021 | $240K | |
| 2021 | 21,655 | $631K | |
| 2022 | 3,693 | $248K | |
| 2023 | 3,736 | $305K | |
| 2024incomplete | 2,107 | $215K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 29% | 9,243 | 2,809 | $772K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 29% | 15,243 | 5,396 | $769K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 17% | 14,886 | 5,258 | $450K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 13% | 14,853 | 5,251 | $342K |
| 97032 | 7.2% | 14,750 | 5,244 | $192K | |
| 97161 | 4.7% | 1,757 | 1,756 | $125K | |
| 97163 | <1% | 299 | 299 | $18K | |
| 97014 | <1% | 184 | 61 | $3K | |
| 97010 | <1% | 4,866 | 1,623 | $223.58 |
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 officialZOU, CHANG XIAN (ACUPUNCTURIST)