NP / PA
Pediatrics Plus PC
Pediatrics Plus PC was paid $2.24M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoPEDIATRICS PLUS PC
NORTH HAVEN, CT 06473
NORTH HAVEN, CT 06473
33aNPI1013287218assigned 01/04/2012
33bProvider typePediatric Nurse Practitioner
28Total paid$2.24M
24GClaims49,675
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Connecticut
Rank by total paid#4 of 31
Median peer was paid$8K
This provider vs. median295×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,896 | $400K | |
| 2019 | 7,731 | $397K | |
| 2020 | 6,907 | $248K | |
| 2021 | 6,578 | $293K | |
| 2022 | 8,165 | $340K | |
| 2023 | 6,343 | $302K | |
| 2024incomplete | 6,055 | $258K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 9,362 | 7,694 | $902K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 11,510 | 9,551 | $746K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.5% | 6,021 | 5,534 | $213K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 885 | 804 | $94K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 776 | 715 | $85K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 836 | 694 | $32K |
| 96127 | 1.1% | 930 | 832 | $24K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 200 | 180 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 214 | 193 | $23K |
| 96160 | <1% | 1,171 | 958 | $19K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,082 | 1,777 | $18K |
| 92551 | <1% | 3,341 | 2,967 | $17K |
21 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,767 | $15K |
| 99051 | <1% | 1,014 | $7K | |
| 99173 | <1% | 1,061 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 245 | $5K |
| 36416 | <1% | 1,463 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $1K |
| 90686 | <1% | 2,645 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 27 | $663.52 |
| 99188 | <1% | 26 | $570.32 | |
| 87807 | <1% | 64 | $536.12 | |
| 99177 | <1% | 25 | $450.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 13 | $270.92 |
| 85018 | 0% | 326 | $0.00 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 27 | $0.00 |
| G9920 | Screening performed and negative | 0% | 111 | $0.00 |
| 90461 | 0% | 963 | $0.00 | |
| 99072 | 0% | 1,786 | $0.00 | |
| 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) | 0% | 591 | $0.00 |
| 90648 | 0% | 66 | $0.00 | |
| 90670 | 0% | 53 | $0.00 | |
| 90685 | 0% | 46 | $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 officialSTONE, ELSA (PRESIDENT)