WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC
NPI 1730618091, organization, Chesapeake, VA, Clinic/Center, Primary Care
- Listed on the Medicare revocation list since August 11, 2020.
- Medicaid still paid claims in 7 later months, $11,529 in total.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Aug 11, 2020 | Aug 11, 2030 | 7 | Sep 2020 | Mar 2021 | $12K | $30K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC |
| Type | Organization |
| Status | Active |
| NPI issued | June 8, 2017, last updated July 21, 2022 |
| Practice location | 200 MEDICAL PARKWAY SUITE 315, Chesapeake, VA 23320, 757-547-0588 |
| Mailing address | 200 MEDICAL PKWY STE 315, Chesapeake, VA 23320-4911 |
| Authorized official | LOPITO BUGARIN (Dr.) |
| Specialties | Clinic/Center, Primary Care (261QP2300X, primary, license 0101222102 VA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $93K | 96% | $87 | $60 (top 5% from $133) | too few months to rank | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $2K | 2% | $107 | $88 (top 5% from $210) | too few months to rank | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $2K | 2% | $126 | $128 (top 5% from $249) | too few months to rank |
In this area
10 providers in Chesapeake city County, VA carry an indicator in the public record, with $999K at stake between them. The most common is paid after a public list action, on 4 of them, followed by named in an enforcement record on 3. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SYNERGY HEALTH SYSTEMS Chesapeake, VA, ranked 80 | $510K |
|
| 1 | RICHARD HILL Chesapeake, VA, ranked 88 | $407K |
|
| 1 | LOPITO BUGARIN Chesapeake, VA, ranked 277 | $12K |
|
| 1 | SYNERGY HEALTH SYSTEMS Chesapeake, VA, ranked 623 | $0 |
|
| 3 | NORFOLK AREA SENIOR CARE LLC Chesapeake, VA, ranked 2652 | $0 |
|
| 3 | JAVAID PERWAIZ Chesapeake, VA, ranked 3193 | $0 |
|
| 3 | AMERICAN HOME HEALTHCARE Chesapeake, VA, ranked 3548 | $0 |
|
| 3 | TRINITY HOSPICE 1, LLC Chesapeake, VA, ranked 6886 | $0 |
|
Recent enforcement in VA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.