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    OpenPayerNPI Medicare & MedicaidWellmont Medical Associates, Inc.
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    Wellmont Medical Associates, Inc. — Billing Profile & Reimbursement Data

    NPI 1740863968 · Johnson City, TN · Physiological Laboratory

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    Wellmont Medical Associates, Inc. is a physiological laboratory provider located in Johnson City, Tennessee. This profile covers 41 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWellmont Medical Associates, Inc.
    Address301 Med Tech Pkwy
    CityJohnson City
    StateTN
    ZIP37604
    TaxonomyPhysiological Laboratory
    NPI EnumeratedMay 5, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$140.7K
    Medicaid$60

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.220$160$34.8K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…80$150$12.6K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.170$50$7.9K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.40$170$6.9K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…50$120$5.8K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.110$50$5.7K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…30$170$5.6K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.60$80$5.1K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.60$70$4.2K
    72158In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material.30$130$3.2K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177102580110$90$12.7K
    705539430050$110$9.3K
    72197648040$140$8K
    70450434570150$30$6.1K
    7417632958070$70$6K
    7214817746050$80$5.9K
    741834513030$130$5.4K
    712606653060$50$4.6K
    7055123637050$60$4.6K
    7125018257070$40$4.5K

    Showing 1–10 of 41

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml50$1$50

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml99140260$1$4.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Wellmont Medical Associates, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellmont Medical Associates IncTNPulmonary Disease Physician$0$27.8M
    Wellmont Medical Associates IncVAFamily Medicine Physician$0$24.6M
    Takoma Regional Hospital IncTNGeneral Acute Care Hospital$0$20.1M
    Blue Ridge Medical Management CorporationTNFamily Nurse Practitioner$0$8M
    Blue Ridge Medical Management CorporationTNPediatrics Physician$0$2.9M
    Blue Ridge Medical Management CorporationTNInternal Medicine Physician$0$2.8M
    Blue Ridge Medical Managgement CorporationTNInternal Medicine Physician$0$2.2M
    Sos NalghranyanFLHematology & Oncology Physician$1.1M$0
    Harsha VardhanaTNMedical Oncology Physician$941.1K$66.6K
    Matthew GestautTNRadiation Oncology Physician$446.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Wellmont Medical Associates, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cura Partners, LLCTNIn Home Supportive Care Agency$0$49.3M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$31.3M
    Medical Education Assistance CorporationTNInternal Medicine Physician$0$31.1M
    Tri-cities Regional Emergency Physicians, PCTNEmergency Medicine Physician$0$24.7M
    Catalyst Health Solutions,llcTNSubstance Use Disorder Rehabilitation Clinic/Center$0$18.7M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$8.1M
    Juhn And Stark LLCTNPediatric Dentistry$0$8.1M
    First Tennessee Human Resource AgencyTNNon-emergency Medical Transport (VAN)$0$4.7M
    Mountain Empire Radiology Inc PCTNDiagnostic Radiology Physician$0$4.5M
    Tri-city Pediactric Cardiology P CTNPediatric Cardiology Physician$0$4.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Wellmont Medical Associates, Inc. — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Wellmont Medical Associates, Inc. — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee