Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC

NPI: 1003882812 · HARTFORD, CT 06105 · Cardiovascular Disease Physician · NPI assigned 02/23/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more

$41.97M
Total Medicaid Paid
1,834,247
Total Claims
1,475,165
Beneficiaries
263
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
Parent OrganizationTRINITY HEALTH OF NEW ENGLAND CORPORATION INC
NPI Enumeration Date02/23/2006

Related Entities

Other providers sharing the same authorized official: HARRIS, JAMES

ProviderCityStateTotal Paid
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $266.39M
SAINT MARY'S HOSPITAL, INC. WATERBURY CT $163.27M
THE MERCY HOSPITAL INC SPRINGFIELD MA $98.92M
RIVERBEND MEDICAL GROUP, INC. SPRINGFIELD MA $38.70M
SYSTEM COORDINATED SERVICES, INC SPRINGFIELD MA $18.54M
BRIGHTSIDE INC SPRINGFIELD MA $11.41M
THE MERCY HOSPITAL INC HOLYOKE MA $10.93M
MERCY INPATIENT MEDICAL ASSOCIATES INC. SPRINGFIELD MA $6.96M
STATE OF NEW YORK COMPTROLLERS OFFICE BUFFALO NY $6.05M
SAINT FRANCIS CARE MEDICAL GROUP, PC HARTFORD CT $2.00M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $1.42M
PIONEER VALLEY CARDIOLOGY ASSOCIATES, INC SPRINGFIELD MA $1.31M
MERCY MEDICAL GROUP, INC. SPRINGFIELD MA $1.08M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $382K
PRATER VOLUNTEER RESCUE SQUAD INC GRUNDY VA $331K
DIABETES AND LIFESTYLE MANAGEMENT, LLC DERRY NH $273K
MERCY SPECIALIST PHYSICIANS INC SPRINGFIELD MA $101K
HEALTH ACCESS, INC. CLARKSBURG WV $85K
GIBSON COUNTY PODIATRY LLC MILAN TN $83K
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 150,667 $2.51M
2019 156,284 $2.83M
2020 113,201 $2.57M
2021 126,260 $2.87M
2022 380,543 $9.70M
2023 454,159 $11.24M
2024 453,133 $10.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 225,968 186,592 $8.71M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 146,838 121,044 $4.33M
99284 Emergency department visit for the evaluation and management, high severity 73,565 64,788 $3.75M
99232 Subsequent hospital care, per day, moderate complexity 97,358 40,160 $2.04M
99233 Prolong inpt eval add15 m 63,145 30,627 $1.94M
J0585 Injection, onabotulinumtoxina, 1 unit 4,191 1,962 $1.84M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 21,752 19,953 $1.60M
99223 Prolong inpt eval add15 m 25,642 22,533 $1.51M
99283 Emergency department visit for the evaluation and management, moderate severity 54,879 46,974 $1.49M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16,236 13,979 $1.07M
99215 Prolong outpt/office vis 23,491 19,282 $1.03M
99239 Hospital discharge day management, more than 30 minutes 23,363 20,773 $739K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 9,741 5,825 $709K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 7,669 6,895 $672K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 168,405 134,932 $569K
99205 Prolong outpt/office vis 6,953 5,764 $545K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16,618 14,843 $532K
99231 Subsequent hospital care, per day, straightforward or low complexity 41,797 11,871 $515K
59025 Fetal non-stress test 12,394 7,000 $467K
76801 10,808 9,860 $407K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,013 7,027 $366K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 12,519 10,462 $330K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 10,170 9,068 $312K
99238 Hospital discharge day management, 30 minutes or less 9,623 7,865 $292K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,384 10,491 $290K
43775 574 502 $284K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,625 4,161 $271K
90834 Psychotherapy, 45 minutes with patient 6,796 3,663 $261K
76830 Ultrasound, transvaginal 9,748 9,006 $256K
99221 8,549 5,811 $234K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,087 2,857 $229K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 5,425 5,079 $222K
76813 6,122 5,580 $207K
90791 Psychiatric diagnostic evaluation 6,766 5,132 $205K
99442 6,301 5,495 $195K
93000 24,612 20,706 $195K
99222 Initial hospital care, per day, moderate complexity 4,281 3,577 $181K
99443 3,417 3,205 $169K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 8,145 7,589 $166K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,576 1,431 $151K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,660 4,398 $151K
99220 2,613 2,525 $136K
76775 3,728 3,320 $111K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 933 828 $98K
95886 2,215 1,908 $91K
54150 1,515 1,289 $87K
99236 Prolong inpt eval add15 m 566 554 $84K
99217 3,383 3,256 $82K
95816 3,472 3,053 $69K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,752 1,279 $67K
99254 725 627 $64K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,892 3,052 $63K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,899 6,334 $61K
64615 1,743 1,412 $60K
95810 Polysomnography; sleep staging with 4 or more additional parameters 678 635 $53K
93295 2,570 2,365 $50K
95720 641 220 $49K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 894 763 $47K
95717 1,218 937 $47K
99244 Office or other outpatient consultation, moderate to high complexity 409 368 $46K
81025 8,947 7,955 $46K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 504 424 $43K
93296 4,082 3,735 $40K
76642 906 735 $37K
90460 Immunization administration through 18 years of age via any route, first or only component 1,078 1,051 $37K
90746 609 507 $35K
45380 Colonoscopy, flexible; with biopsy, single or multiple 483 414 $33K
95251 2,851 2,267 $33K
76819 Fetal biophysical profile; without non-stress testing 594 331 $33K
76942 631 520 $31K
90792 Psychiatric diagnostic evaluation with medical services 1,335 1,135 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,134 2,222 $29K
95911 384 322 $28K
99460 764 594 $27K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 307 251 $27K
20610 1,310 957 $25K
95806 647 626 $25K
99462 1,272 945 $25K
51798 5,018 4,166 $25K
64405 396 303 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 237 198 $19K
90674 968 868 $18K
76825 392 323 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 167 151 $16K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,743 814 $15K
99219 367 364 $15K
43235 326 197 $14K
93015 283 268 $14K
90472 Immunization administration, each additional vaccine (list separately) 1,187 961 $14K
99255 136 116 $14K
76820 973 579 $13K
99306 Prolong nursin fac eval 15m 270 259 $13K
51784 243 185 $12K
97597 1,456 563 $12K
20553 735 605 $12K
93298 697 600 $10K
99253 158 148 $10K
95811 139 132 $10K
90686 2,068 1,751 $9K
94727 1,837 1,738 $9K
51797 93 81 $9K
99308 Subsequent nursing facility care, per day, straightforward 437 407 $9K
94729 2,579 2,429 $9K
90677 72 63 $8K
96127 536 471 $8K
14301 44 14 $8K
51729 70 60 $7K
93458 51 48 $7K
99479 Subsequent intensive care, per day, very low birth weight infant 66 13 $7K
95910 138 119 $7K
99385 68 64 $6K
99374 163 160 $6K
14302 44 14 $6K
99235 71 59 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity 386 330 $6K
90837 Psychotherapy, 53 minutes with patient 104 39 $6K
76827 420 334 $6K
93294 805 713 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 406 352 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 97 69 $5K
99464 108 78 $5K
83036 Hemoglobin; glycosylated (A1C) 1,399 982 $5K
99243 52 52 $5K
99245 28 27 $4K
94060 784 755 $4K
99241 137 132 $4K
93018 673 603 $4K
90715 162 122 $4K
81002 2,137 1,859 $4K
90671 63 54 $4K
76536 81 79 $4K
83655 409 331 $4K
87210 1,063 996 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 473 345 $3K
99234 40 40 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,267 1,115 $3K
31624 116 99 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 854 658 $2K
64483 71 64 $2K
52000 40 38 $2K
51701 77 70 $2K
82570 1,201 1,002 $2K
90688 129 127 $2K
73562 118 112 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 685 622 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 53 39 $2K
99310 Prolong nursin fac eval 15m 88 67 $2K
93016 188 166 $2K
95718 29 26 $2K
94726 402 347 $2K
99307 92 84 $2K
99465 13 13 $2K
95813 41 37 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 14 $2K
95873 195 167 $2K
90656 367 347 $1K
12001 31 30 $1K
95885 71 66 $1K
80305 266 218 $1K
51741 47 38 $1K
93325 515 403 $1K
81003 3,228 2,819 $1K
93042 292 276 $995.45
95912 15 12 $944.10
95909 26 26 $941.80
64493 14 13 $938.74
82962 712 634 $878.83
62323 30 26 $827.45
99406 115 94 $813.13
93272 72 61 $725.40
36416 293 223 $725.23
90670 164 163 $724.15
12011 12 12 $710.40
99497 115 98 $706.32
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 28 14 $704.70
99483 Prolong outpt/office vis 15 12 $698.58
64484 25 25 $681.84
95819 31 28 $673.24
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 156 124 $600.96
70450 Computed tomography, head or brain; without contrast material 131 119 $571.78
93297 131 112 $563.03
94010 145 139 $550.77
36556 20 12 $543.30
36415 Collection of venous blood by venipuncture 206 172 $540.25
64494 14 13 $533.61
95250 13 13 $505.35
99218 14 13 $497.25
93280 81 68 $494.47
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 724 322 $470.23
31629 16 14 $461.51
71045 Radiologic examination, chest; single view 415 244 $440.84
J1010 Injection, methylprednisolone acetate, 1 mg 76 70 $419.13
64644 14 12 $404.12
99407 37 36 $389.03
31627 15 15 $378.30
93308 52 40 $354.06
99173 65 63 $348.08
95822 19 13 $338.30
93227 29 29 $334.58
31628 12 12 $286.44
J1040 Injection, methylprednisolone acetate, 80 mg 62 52 $272.74
73030 27 24 $271.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg 314 275 $260.43
31654 15 15 $255.18
11045 33 13 $220.19
73560 13 13 $216.09
73610 12 12 $175.95
94780 12 12 $142.50
93264 15 12 $140.70
99441 103 80 $111.03
74177 Computed tomography, abdomen and pelvis; with contrast material 26 26 $109.12
99305 13 13 $99.96
J1050 Injection, medroxyprogesterone acetate, 1 mg 478 442 $85.50
99152 20 13 $83.06
82274 16 12 $74.82
94781 12 12 $49.50
90832 Psychotherapy, 30 minutes with patient 35 15 $44.78
94200 14 14 $38.64
93321 27 15 $34.44
71046 Radiologic examination, chest; 2 views 15 14 $13.50
85018 49 25 $11.30
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 13 13 $8.46
G8510 Screening for depression is documented as negative, a follow-up plan is not required 4,883 4,276 $1.12
3017F 30,021 26,916 $0.00
1036F 104,016 93,973 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 99,156 91,098 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 25,152 23,040 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 9,366 8,373 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 385 358 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 11,230 10,396 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 992 848 $0.00
3061F 2,744 2,426 $0.00
3014F 893 824 $0.00
3044F 145 141 $0.00
97802 79 55 $0.00
0500F 162 152 $0.00
3060F 26 25 $0.00
90697 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 27 26 $0.00
90698 12 12 $0.00
91305 28 25 $0.00
91307 16 16 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 143,862 131,105 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 17,352 15,927 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 44,757 39,447 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 2,516 2,284 $0.00
2022F 713 643 $0.00
3046F 519 483 $0.00
97803 23 23 $0.00
3045F 334 319 $0.00
G8482 Influenza immunization administered or previously received 533 460 $0.00
4004F 1,471 1,303 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 102 101 $0.00
90461 277 267 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 216 207 $0.00
G0444 Annual depression screening, 5 to 15 minutes 13 13 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 74 64 $0.00
3021F 27 27 $0.00
74018 13 12 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 159 37 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 70 64 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 27 27 $0.00
90661 31 17 $0.00