Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Trinity Health of New England Provider Network Organization INC

Trinity Health of New England Provider Network Organization INC was paid $41.97M by Medicaid between Jan 2018 and Dec 2024, across 263 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.

33Billing provider infoTRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
HARTFORD, CT 06105
33aNPI1003882812assigned 02/23/2006
28Total paid$41.97M
24GClaims1,834,247
24DCodes billed263
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Connecticut

Rank by total paid#1 of 48
Median peer was paid$37K
This provider vs. median1,124×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018150,667$2.51M
2019156,284$2.83M
2020113,201$2.57M
2021126,260$2.87M
2022380,543$9.70M
2023454,159$11.24M
2024incomplete453,133$10.24M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21% 225,968 186,592 $8.71M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 146,838 121,044 $4.33M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.9% 73,565 64,788 $3.75M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.9% 97,358 40,160 $2.04M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.6% 63,145 30,627 $1.94M
J0585 Injection, onabotulinumtoxina, 1 unit 4.4% 4,191 1,962 $1.84M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.8% 21,752 19,953 $1.60M
99223 Prolong inpt eval add15 m 3.6% 25,642 22,533 $1.51M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.5% 54,879 46,974 $1.49M
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.6% 16,236 13,979 $1.07M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.5% 23,491 19,282 $1.03M
99239 Hospital discharge day management, more than 30 minutes 1.8% 23,363 20,773 $739K
251 more codes
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.7% 9,741 $709K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.6% 7,669 $672K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.4% 168,405 $569K
99205 Prolong outpt/office vis 1.3% 6,953 $545K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 16,618 $532K
99231 Subsequent hospital care, per day, straightforward or low complexity 1.2% 41,797 $515K
59025 Fetal non-stress test 1.1% 12,394 $467K
76801 <1% 10,808 $407K
99203 Doctor's office visit, new patient (routine) <1% 8,013 $366K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 12,519 $330K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 10,170 $312K
99238 Hospital discharge day management, 30 minutes or less <1% 9,623 $292K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14,384 $290K
43775 <1% 574 $284K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 4,625 $271K
90834 Psychotherapy session, about 45 minutes <1% 6,796 $261K
76830 Ultrasound, transvaginal <1% 9,748 $256K
99221 <1% 8,549 $234K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 3,087 $229K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 5,425 $222K
76813 <1% 6,122 $207K
90791 Psychiatric diagnostic evaluation <1% 6,766 $205K
99442 <1% 6,301 $195K
93000 <1% 24,612 $195K
99222 Initial hospital care, per day, moderate complexity <1% 4,281 $181K
99443 <1% 3,417 $169K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 8,145 $166K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,576 $151K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 5,660 $151K
99220 <1% 2,613 $136K
76775 <1% 3,728 $111K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 933 $98K
95886 <1% 2,215 $91K
54150 <1% 1,515 $87K
99236 Prolong inpt eval add15 m <1% 566 $84K
99217 <1% 3,383 $82K
95816 <1% 3,472 $69K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,752 $67K
99254 <1% 725 $64K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 3,892 $63K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 7,899 $61K
64615 <1% 1,743 $60K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 678 $53K
93295 <1% 2,570 $50K
95720 <1% 641 $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 <1% 894 $47K
95717 <1% 1,218 $47K
99244 Office or other outpatient consultation, moderate to high complexity <1% 409 $46K
81025 <1% 8,947 $46K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 504 $43K
93296 <1% 4,082 $40K
76642 <1% 906 $37K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,078 $37K
90746 <1% 609 $35K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 483 $33K
95251 <1% 2,851 $33K
76819 Fetal biophysical profile; without non-stress testing <1% 594 $33K
76942 <1% 631 $31K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,335 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,134 $29K
95911 <1% 384 $28K
99460 <1% 764 $27K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 307 $27K
20610 <1% 1,310 $25K
95806 <1% 647 $25K
99462 <1% 1,272 $25K
51798 <1% 5,018 $25K
64405 <1% 396 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 237 $19K
90674 <1% 968 $18K
76825 <1% 392 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 167 $16K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,743 $15K
99219 <1% 367 $15K
43235 <1% 326 $14K
93015 <1% 283 $14K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,187 $14K
99255 <1% 136 $14K
76820 <1% 973 $13K
99306 Prolong nursin fac eval 15m <1% 270 $13K
51784 <1% 243 $12K
97597 <1% 1,456 $12K
20553 <1% 735 $12K
93298 <1% 697 $10K
99253 <1% 158 $10K
95811 <1% 139 $10K
90686 <1% 2,068 $9K
94727 <1% 1,837 $9K
51797 <1% 93 $9K
99308 Subsequent nursing facility care, per day, straightforward <1% 437 $9K
94729 <1% 2,579 $9K
90677 <1% 72 $8K
96127 <1% 536 $8K
14301 <1% 44 $8K
51729 <1% 70 $7K
93458 <1% 51 $7K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 66 $7K
95910 <1% 138 $7K
99385 <1% 68 $6K
99374 <1% 163 $6K
14302 <1% 44 $6K
99235 <1% 71 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 386 $6K
90837 Psychotherapy session, about an hour <1% 104 $6K
76827 <1% 420 $6K
93294 <1% 805 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 406 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 97 $5K
99464 <1% 108 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 1,399 $5K
99243 <1% 52 $5K
99245 <1% 28 $4K
94060 <1% 784 $4K
99241 <1% 137 $4K
93018 <1% 673 $4K
90715 <1% 162 $4K
81002 <1% 2,137 $4K
90671 <1% 63 $4K
76536 <1% 81 $4K
83655 <1% 409 $4K
87210 <1% 1,063 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 473 $3K
99234 <1% 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% 1,267 $3K
31624 <1% 116 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 854 $2K
64483 <1% 71 $2K
52000 <1% 40 $2K
51701 <1% 77 $2K
82570 <1% 1,201 $2K
90688 <1% 129 $2K
73562 <1% 118 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 685 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 53 $2K
99310 Prolong nursin fac eval 15m <1% 88 $2K
93016 <1% 188 $2K
95718 <1% 29 $2K
94726 <1% 402 $2K
99307 <1% 92 $2K
99465 <1% 13 $2K
95813 <1% 41 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 16 $2K
95873 <1% 195 $2K
90656 <1% 367 $1K
12001 <1% 31 $1K
95885 <1% 71 $1K
80305 <1% 266 $1K
51741 <1% 47 $1K
93325 <1% 515 $1K
81003 <1% 3,228 $1K
93042 <1% 292 $995.45
95912 <1% 15 $944.10
95909 <1% 26 $941.80
64493 <1% 14 $938.74
82962 <1% 712 $878.83
62323 <1% 30 $827.45
99406 <1% 115 $813.13
93272 <1% 72 $725.40
36416 <1% 293 $725.23
90670 <1% 164 $724.15
12011 <1% 12 $710.40
99497 <1% 115 $706.32
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 28 $704.70
99483 Prolong outpt/office vis <1% 15 $698.58
64484 <1% 25 $681.84
95819 <1% 31 $673.24
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 156 $600.96
70450 Computed tomography, head or brain; without contrast material <1% 131 $571.78
93297 <1% 131 $563.03
94010 <1% 145 $550.77
36556 <1% 20 $543.30
36415 Collection of venous blood by venipuncture <1% 206 $540.25
64494 <1% 14 $533.61
95250 <1% 13 $505.35
99218 <1% 14 $497.25
93280 <1% 81 $494.47
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 724 $470.23
31629 <1% 16 $461.51
71045 Radiologic examination, chest; single view <1% 415 $440.84
J1010 Injection, methylprednisolone acetate, 1 mg <1% 76 $419.13
64644 <1% 14 $404.12
99407 <1% 37 $389.03
31627 <1% 15 $378.30
93308 <1% 52 $354.06
99173 <1% 65 $348.08
95822 <1% 19 $338.30
93227 <1% 29 $334.58
31628 <1% 12 $286.44
J1040 Injection, methylprednisolone acetate, 80 mg <1% 62 $272.74
73030 <1% 27 $271.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 314 $260.43
31654 <1% 15 $255.18
11045 <1% 33 $220.19
73560 <1% 13 $216.09
73610 <1% 12 $175.95
94780 <1% 12 $142.50
93264 <1% 15 $140.70
99441 <1% 103 $111.03
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 26 $109.12
99305 <1% 13 $99.96
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 478 $85.50
99152 <1% 20 $83.06
82274 <1% 16 $74.82
94781 <1% 12 $49.50
90832 Psychotherapy session, about 30 minutes <1% 35 $44.78
94200 <1% 14 $38.64
93321 <1% 27 $34.44
71046 Radiologic examination, chest; 2 views <1% 15 $13.50
85018 <1% 49 $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 <1% 13 $8.46
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 4,883 $1.12
3017F 0% 30,021 $0.00
1036F 0% 104,016 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 99,156 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 25,152 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 9,366 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 385 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 11,230 $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) 0% 992 $0.00
3061F 0% 2,744 $0.00
3014F 0% 893 $0.00
3044F 0% 145 $0.00
97802 0% 79 $0.00
0500F 0% 162 $0.00
3060F 0% 26 $0.00
90697 0% 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 27 $0.00
90698 0% 12 $0.00
91305 0% 28 $0.00
91307 0% 16 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 143,862 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 17,352 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 44,757 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 2,516 $0.00
2022F 0% 713 $0.00
3046F 0% 519 $0.00
97803 0% 23 $0.00
3045F 0% 334 $0.00
G8482 Influenza immunization administered or previously received 0% 533 $0.00
4004F 0% 1,471 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 0% 102 $0.00
90461 0% 277 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 216 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 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) 0% 74 $0.00
3021F 0% 27 $0.00
74018 0% 13 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 0% 159 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 0% 70 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 27 $0.00
90661 0% 31 $0.00

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 officialHARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
Parent organizationTRINITY HEALTH OF NEW ENGLAND CORPORATION INC
Same official

Other billing entities under HARRIS, JAMES

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.