Physician
Connecticut Gi PLLC
Connecticut Gi PLLC was paid $12.05M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 32% of everything it billed.
33Billing provider infoCONNECTICUT GI PLLC
HARTFORD, CT 06106
HARTFORD, CT 06106
33aNPI1023124625assigned 08/23/2006
33bProvider typeInternal Medicine Physician
28Total paid$12.05M
24GClaims206,440
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Connecticut
Rank by total paid#6 of 295
Median peer was paid$35K
This provider vs. median343×
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 | 10,967 | $590K | |
| 2019 | 18,470 | $1.10M | |
| 2020 | 26,499 | $1.56M | |
| 2021 | 33,734 | $1.93M | |
| 2022 | 36,905 | $2.19M | |
| 2023 | 44,398 | $2.53M | |
| 2024incomplete | 35,467 | $2.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 32% | 30,034 | 26,664 | $3.84M |
| 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 | 20% | 62,555 | 53,893 | $2.47M |
| 88313 | 10% | 17,577 | 15,612 | $1.26M | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.7% | 21,055 | 18,878 | $933K |
| 88342 | 6.4% | 15,923 | 14,184 | $773K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 14,981 | 12,617 | $428K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.4% | 4,905 | 4,391 | $407K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 7,201 | 6,116 | $293K |
| 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 | 2.2% | 4,049 | 3,377 | $266K |
| 00813 | 2.0% | 3,316 | 2,999 | $239K | |
| 00731 | 1.7% | 3,614 | 3,146 | $210K | |
| 00811 | 1.4% | 3,001 | 2,777 | $170K |
23 more codes
| 88312 | 1.4% | 2,838 | $169K | |
| 00812 | 1.0% | 2,200 | $126K | |
| 99232 | Hospital visit by a doctor, follow-up day | 1.0% | 6,907 | $125K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 1,131 | $120K |
| 99254 | <1% | 780 | $53K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 316 | $36K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,255 | $36K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 811 | $35K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 320 | $28K |
| 99243 | <1% | 171 | $11K | |
| 91065 | <1% | 729 | $5K | |
| 99242 | <1% | 89 | $4K | |
| 99443 | <1% | 137 | $4K | |
| 99253 | <1% | 40 | $2K | |
| 76981 | <1% | 63 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 119 | $1K |
| 45384 | <1% | 12 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 38 | $874.98 |
| 99442 | <1% | 38 | $613.92 | |
| 91200 | <1% | 47 | $595.60 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 164 | $323.12 |
| 99441 | <1% | 12 | $51.20 | |
| 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% | 12 | $13.00 |
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 officialNESTLER, JEFFREY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Wallingford Endoscopy Center, LLC. | Wallingford, CT | $1.84M |
| Glastonbury Endoscopy Center, LLC | Glastonbury, CT | $104K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.