Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

The Wellness Plan Medical Centers (NPI 1043373244)

Field	Value
Entity Type	Organization
Organization	The Wellness Plan Medical Centers
Address	2888 W Grand Blvd
City	Detroit
State	MI
ZIP	48202
Taxonomy	Clinic/Center
NPI Enumerated	December 18, 2006

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

168 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	162,860	$70	$10.6M
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	14,580	$70	$991.7K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	13,780	$60	$882K
D0120	Periodic oral evaluation - established patient	4,780	$130	$631.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,490	$120	$630.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,510	$140	$617.7K
D0150	Comprehensive oral evaluation – new or established patient	3,880	$140	$523.7K
D0140	Limited oral evaluation – problem focused	2,780	$140	$394.2K
D2392	Post 2 surface resin‑based composite	2,660	$130	$342.5K
D4355	N/A	1,430	$150	$216.1K

Showing 1–10 of 168

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

Claims Volume vs. Michigan Distribution

The Wellness Plan Medical Centers — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

168 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	6	290	5,550	$70	$1.4M
H0031	Mental health assessment, by non-physician	150	180	1,290	$250	$1.1M
H0038	Self‑help/peer services, per 15 minutes	141	190	2,210	$70	$754.1K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	103	130	200	$750	$636K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	149	160	260	$820	$506.6K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	23	260	1,950	$80	$389.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	162	290	300	$240	$336.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	682	950	610	$80	$328.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	67	4,380	1,000	$70	$289.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	153	210	740	$70	$255.2K

Showing 1–10 of 168

Nearby Providers

Other providers in the same ZIP code as The Wellness Plan Medical Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health System	MI	General Acute Care Hospital	$0	$335M
Henry Ford Health System	MI	Emergency Medicine Physician	$0	$30.4M
Henry Ford Health System	MI	Pediatrics Physician	$0	$25.7M
Henry Ford Health System	MI	Internal Medicine Physician	$0	$24.4M
Henry Ford Health System	MI	Diagnostic Radiology Physician	$0	$23M
Addus Healthcare, Inc.	MI	In Home Supportive Care Agency	$0	$18.5M
Henry Ford Health System	MI	Obstetrics & Gynecology Physician	$0	$17M
Detroit Wayne Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$13.1M
Henr Y Ford Health System	MI	Family Medicine Physician	$0	$11.8M
Henry Ford Health System	MI	Physician Assistant	$0	$10.4M

The Wellness Plan Medical Centers — Billing Profile & Reimbursement Data

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The Wellness Plan Medical Centers — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References