Behavioral
Northeast Medical Group, INC.
Northeast Medical Group, INC. was paid $59.52M by Medicaid between Jan 2018 and Dec 2024, across 286 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoNORTHEAST MEDICAL GROUP, INC.
BRIDGEPORT, CT 06610
BRIDGEPORT, CT 06610
33aNPI1043278351assigned 05/03/2006
33bProvider typeClinical Social Worker
28Total paid$59.52M
24GClaims1,684,552
24DCodes billed286
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Connecticut
Rank by total paid#1 of 647
Median peer was paid$67K
This provider vs. median886×
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 | 250,722 | $8.48M | |
| 2019 | 249,848 | $8.63M | |
| 2020 | 207,913 | $7.15M | |
| 2021 | 256,816 | $8.66M | |
| 2022 | 243,504 | $9.25M | |
| 2023 | 251,369 | $9.25M | |
| 2024incomplete | 224,380 | $8.09M |
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 | 34% | 379,346 | 349,842 | $20.49M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 284,064 | 253,283 | $10.78M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.5% | 268,287 | 121,548 | $5.64M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.4% | 127,810 | 64,880 | $3.79M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 28,066 | 27,123 | $1.05M |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 31,288 | 29,684 | $1.04M |
| 99223 | Prolong inpt eval add15 m | 1.6% | 15,575 | 14,645 | $981K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 19,811 | 18,990 | $978K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 8,117 | 7,731 | $955K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.3% | 3,455 | 3,342 | $791K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.2% | 6,442 | 5,721 | $717K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 15,136 | 14,041 | $676K |
274 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.0% | 8,264 | $605K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 4,935 | $603K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 1,364 | $594K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 9,444 | $583K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 11,734 | $546K |
| 93000 | <1% | 54,822 | $472K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 6,844 | $467K |
| 59025 | Fetal non-stress test | <1% | 9,387 | $392K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 15,268 | $361K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 19,455 | $277K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,205 | $267K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 8,056 | $248K |
| 99220 | <1% | 3,730 | $218K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 2,901 | $205K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,479 | $199K |
| 76801 | <1% | 5,383 | $175K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 175 | $172K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 1,567 | $166K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 11,260 | $165K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,312 | $164K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 5,758 | $163K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 5,764 | $158K |
| 99442 | <1% | 4,886 | $155K | |
| 99253 | <1% | 2,434 | $150K | |
| 95811 | <1% | 638 | $149K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 42,694 | $148K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 2,472 | $134K |
| 95806 | <1% | 2,245 | $131K | |
| 11043 | <1% | 1,641 | $123K | |
| 99217 | <1% | 5,377 | $120K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 1,276 | $118K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 830 | $112K |
| 99226 | <1% | 2,272 | $103K | |
| 76813 | <1% | 3,365 | $102K | |
| 99205 | Prolong outpt/office vis | <1% | 1,333 | $101K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,436 | $96K |
| 99460 | <1% | 1,737 | $86K | |
| 99243 | <1% | 1,066 | $83K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 2,619 | $78K |
| 90686 | <1% | 18,592 | $77K | |
| 11721 | <1% | 9,430 | $74K | |
| 96161 | <1% | 3,360 | $72K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 5,265 | $70K |
| 99443 | <1% | 1,402 | $61K | |
| 96160 | <1% | 3,386 | $59K | |
| 96127 | <1% | 3,531 | $53K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,542 | $51K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 9,116 | $48K |
| 99245 | <1% | 491 | $46K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,413 | $43K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,259 | $43K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,662 | $41K |
| 99219 | <1% | 1,134 | $41K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 2,455 | $40K |
| 99225 | <1% | 1,730 | $38K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 542 | $38K |
| 95251 | <1% | 2,521 | $36K | |
| 94375 | <1% | 4,253 | $35K | |
| 31575 | <1% | 824 | $32K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 301 | $32K |
| 73630 | <1% | 2,473 | $31K | |
| J0897 | Injection, denosumab, 1 mg | <1% | 92 | $31K |
| 51798 | <1% | 5,348 | $31K | |
| 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% | 786 | $31K |
| 93015 | <1% | 778 | $31K | |
| 93298 | <1% | 3,260 | $30K | |
| 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% | 9,855 | $30K |
| 93295 | <1% | 1,771 | $29K | |
| 64615 | <1% | 736 | $28K | |
| 99381 | <1% | 211 | $28K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 276 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,812 | $26K |
| 93299 | <1% | 1,122 | $26K | |
| 95012 | <1% | 2,358 | $26K | |
| 99305 | <1% | 375 | $26K | |
| 93296 | <1% | 3,196 | $25K | |
| 94060 | <1% | 2,422 | $24K | |
| 11056 | <1% | 2,518 | $23K | |
| 20553 | <1% | 1,488 | $23K | |
| 93224 | <1% | 429 | $23K | |
| 95117 | <1% | 2,353 | $22K | |
| 0001A | <1% | 596 | $22K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,059 | $22K |
| 95800 | <1% | 402 | $21K | |
| 99462 | <1% | 780 | $20K | |
| 0002A | <1% | 520 | $20K | |
| 99188 | <1% | 936 | $19K | |
| 94729 | <1% | 2,094 | $18K | |
| 15275 | <1% | 501 | $18K | |
| 36573 | <1% | 1,125 | $18K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 673 | $17K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 931 | $17K |
| 99464 | <1% | 274 | $17K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,620 | $16K |
| 99221 | <1% | 552 | $16K | |
| 94010 | <1% | 1,677 | $16K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 3,093 | $15K |
| 94728 | <1% | 2,482 | $15K | |
| 93793 | <1% | 4,900 | $15K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 137 | $15K |
| 99254 | <1% | 167 | $14K | |
| 99252 | <1% | 371 | $14K | |
| 20552 | <1% | 1,106 | $14K | |
| 11044 | <1% | 128 | $13K | |
| 76820 | <1% | 911 | $13K | |
| 69210 | <1% | 1,167 | $13K | |
| 95911 | <1% | 232 | $13K | |
| 82962 | <1% | 10,769 | $12K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,459 | $12K |
| 93294 | <1% | 2,033 | $12K | |
| 80305 | <1% | 3,163 | $12K | |
| 94660 | <1% | 588 | $11K | |
| 99284 | Emergency room visit (serious) | <1% | 183 | $11K |
| 99349 | <1% | 809 | $10K | |
| 62323 | <1% | 239 | $10K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 137 | $9K |
| 99350 | Prolong home eval add 15m | <1% | 694 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,239 | $9K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 490 | $9K |
| 20610 | <1% | 509 | $9K | |
| 94726 | <1% | 720 | $9K | |
| 11720 | <1% | 2,129 | $9K | |
| 31231 | <1% | 142 | $9K | |
| 93458 | <1% | 38 | $8K | |
| 96112 | <1% | 108 | $8K | |
| 99236 | Prolong inpt eval add15 m | <1% | 47 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 352 | $7K |
| 99241 | <1% | 223 | $7K | |
| 46600 | <1% | 192 | $7K | |
| 0072A | <1% | 188 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 803 | $7K |
| 99201 | <1% | 309 | $7K | |
| 99477 | <1% | 26 | $7K | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 12 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 163 | $6K |
| 0071A | <1% | 160 | $6K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 74 | $6K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 57 | $6K |
| 99310 | Prolong nursin fac eval 15m | <1% | 211 | $6K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 507 | $5K |
| 94760 | <1% | 3,552 | $5K | |
| 11719 | <1% | 1,949 | $5K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 76 | $5K |
| 92557 | <1% | 1,631 | $4K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 107 | $4K |
| 0064A | <1% | 111 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 327 | $4K |
| 83037 | <1% | 673 | $4K | |
| 94664 | <1% | 418 | $4K | |
| 52000 | <1% | 70 | $3K | |
| 99385 | <1% | 25 | $3K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 38 | $3K |
| 99242 | <1% | 54 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 348 | $3K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 702 | $3K |
| 99490 | Ccm add 20min | <1% | 173 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 138 | $3K |
| 36410 | <1% | 1,028 | $2K | |
| 93280 | <1% | 364 | $2K | |
| 81002 | <1% | 7,914 | $2K | |
| 99441 | <1% | 1,295 | $2K | |
| 93297 | <1% | 416 | $2K | |
| 76818 | <1% | 44 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 40 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 62 | $2K |
| 54150 | <1% | 59 | $2K | |
| 36569 | <1% | 79 | $2K | |
| 90651 | <1% | 134 | $2K | |
| 64493 | <1% | 31 | $2K | |
| 92567 | <1% | 1,723 | $2K | |
| 99050 | <1% | 110 | $2K | |
| 73562 | <1% | 139 | $1K | |
| 99348 | <1% | 148 | $1K | |
| 64494 | <1% | 45 | $1K | |
| 94727 | <1% | 194 | $1K | |
| 76937 | <1% | 268 | $1K | |
| 0003A | <1% | 46 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 197 | $1K |
| 99307 | <1% | 56 | $1K | |
| 99152 | <1% | 95 | $1K | |
| 95910 | <1% | 27 | $1K | |
| 92015 | Determination of refractive state | <1% | 31 | $1K |
| 90715 | <1% | 39 | $1K | |
| 83013 | <1% | 27 | $1K | |
| 99316 | <1% | 57 | $1K | |
| 95250 | <1% | 26 | $1K | |
| 92060 | <1% | 37 | $1K | |
| 90839 | <1% | 41 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 532 | $1K |
| 97597 | <1% | 89 | $1K | |
| 11055 | <1% | 130 | $1K | |
| 91322 | <1% | 17 | $1K | |
| 0004A | <1% | 51 | $960.00 | |
| 99459 | <1% | 64 | $852.17 | |
| 99283 | Emergency room visit (moderate) | <1% | 37 | $809.16 |
| 99251 | <1% | 32 | $808.96 | |
| 99407 | <1% | 69 | $795.22 | |
| 99218 | <1% | 36 | $765.00 | |
| 94618 | <1% | 66 | $752.85 | |
| 94250 | <1% | 412 | $739.50 | |
| 90688 | <1% | 51 | $731.44 | |
| 93018 | <1% | 130 | $730.86 | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 62 | $670.60 |
| 90620 | <1% | 15 | $669.00 | |
| 92551 | <1% | 104 | $654.18 | |
| 93016 | <1% | 75 | $643.05 | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 15 | $603.90 |
| 95886 | <1% | 31 | $574.40 | |
| 90461 | <1% | 1,982 | $545.32 | |
| 92250 | <1% | 15 | $530.16 | |
| 17110 | <1% | 28 | $527.54 | |
| 0111A | <1% | 13 | $520.00 | |
| 11100 | <1% | 16 | $444.46 | |
| 81025 | <1% | 91 | $440.64 | |
| 20550 | <1% | 14 | $431.50 | |
| 76536 | <1% | 12 | $419.86 | |
| 99497 | <1% | 88 | $382.43 | |
| 90662 | <1% | 41 | $379.81 | |
| 90756 | <1% | 18 | $364.64 | |
| 93325 | <1% | 166 | $357.28 | |
| 88738 | <1% | 1,271 | $335.39 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $323.75 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 28 | $306.28 |
| 93321 | <1% | 65 | $305.04 | |
| 93308 | <1% | 27 | $303.48 | |
| 90677 | <1% | 197 | $288.66 | |
| 99173 | <1% | 37 | $281.20 | |
| 90674 | <1% | 18 | $264.55 | |
| 29540 | <1% | 18 | $253.90 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 723 | $251.32 |
| 93227 | <1% | 30 | $245.70 | |
| 99406 | <1% | 25 | $186.11 | |
| 93320 | <1% | 15 | $179.55 | |
| 99304 | <1% | 27 | $169.45 | |
| 81003 | <1% | 948 | $160.54 | |
| 90656 | <1% | 1,800 | $156.45 | |
| 83014 | <1% | 27 | $143.74 | |
| 11057 | <1% | 12 | $137.38 | |
| 85018 | <1% | 1,712 | $133.98 | |
| 17250 | <1% | 15 | $127.68 | |
| 82947 | <1% | 53 | $118.30 | |
| 93923 | <1% | 13 | $81.90 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 478 | $77.10 |
| 97035 | <1% | 12 | $76.08 | |
| 36416 | <1% | 31 | $72.87 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 51 | $52.10 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 83 | $40.47 |
| 95874 | <1% | 25 | $35.82 | |
| 85610 | <1% | 15 | $33.86 | |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 58 | $0.76 |
| 1124F | 0% | 502 | $0.00 | |
| 90670 | 0% | 484 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 91300 | 0% | 1,324 | $0.00 | |
| 90685 | 0% | 55 | $0.00 | |
| 90653 | 0% | 12 | $0.00 | |
| 90734 | 0% | 28 | $0.00 | |
| 91311 | 0% | 16 | $0.00 | |
| 97161 | 0% | 13 | $0.00 | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 0% | 62 | $0.00 |
| 90723 | 0% | 55 | $0.00 | |
| 90680 | 0% | 79 | $0.00 | |
| 99000 | 0% | 252 | $0.00 | |
| 91307 | 0% | 444 | $0.00 | |
| 1123F | 0% | 40 | $0.00 | |
| 90698 | 0% | 278 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 87 | $0.00 |
| 91306 | 0% | 110 | $0.00 | |
| 91305 | 0% | 88 | $0.00 | |
| 90619 | 0% | 14 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 15 | $0.00 |
| 90647 | 0% | 26 | $0.00 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 0% | 150 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $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 officialBIALCZAK, BEATA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Northeast Medical Group, PLLC | Greenwich, CT | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.