Medicaid Provider Spending

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

NORTHEAST MEDICAL GROUP, INC.

NPI: 1043278351 · BRIDGEPORT, CT 06610 · Clinical Social Worker · NPI assigned 05/03/2006

$59.52M
Total Medicaid Paid
1,684,552
Total Claims
1,344,386
Beneficiaries
286
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIALCZAK, BEATA (MANAGER)
NPI Enumeration Date05/03/2006

Related Entities

Other providers sharing the same authorized official: BIALCZAK, BEATA

ProviderCityStateTotal Paid
NORTHEAST MEDICAL GROUP, PLLC GREENWICH CT $21K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 224,380 $8.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 379,346 349,842 $20.49M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 284,064 253,283 $10.78M
99232 Subsequent hospital care, per day, moderate complexity 268,287 121,548 $5.64M
99233 Prolong inpt eval add15 m 127,810 64,880 $3.79M
90460 Immunization administration through 18 years of age via any route, first or only component 28,066 27,123 $1.05M
99239 Hospital discharge day management, more than 30 minutes 31,288 29,684 $1.04M
99223 Prolong inpt eval add15 m 15,575 14,645 $981K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 19,811 18,990 $978K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,117 7,731 $955K
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,455 3,342 $791K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 6,442 5,721 $717K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15,136 14,041 $676K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,264 7,835 $605K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,935 4,747 $603K
J0585 Injection, onabotulinumtoxina, 1 unit 1,364 641 $594K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 9,444 4,024 $583K
99222 Initial hospital care, per day, moderate complexity 11,734 11,213 $546K
93000 54,822 51,895 $472K
99215 Prolong outpt/office vis 6,844 6,397 $467K
59025 Fetal non-stress test 9,387 6,798 $392K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15,268 13,736 $361K
99231 Subsequent hospital care, per day, straightforward or low complexity 19,455 8,920 $277K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,205 2,149 $267K
99238 Hospital discharge day management, 30 minutes or less 8,056 7,608 $248K
99220 3,730 3,586 $218K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,901 2,748 $205K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,479 1,428 $199K
76801 5,383 5,059 $175K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 175 157 $172K
99244 Office or other outpatient consultation, moderate to high complexity 1,567 1,494 $166K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,260 9,849 $165K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,312 1,293 $164K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,758 4,919 $163K
90791 Psychiatric diagnostic evaluation 5,764 4,958 $158K
99442 4,886 4,547 $155K
99253 2,434 2,265 $150K
95811 638 616 $149K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 42,694 36,725 $148K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,472 2,325 $134K
95806 2,245 2,126 $131K
11043 1,641 948 $123K
99217 5,377 5,129 $120K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,276 1,210 $118K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 830 798 $112K
99226 2,272 1,786 $103K
76813 3,365 3,170 $102K
99205 Prolong outpt/office vis 1,333 1,281 $101K
90834 Psychotherapy, 45 minutes with patient 2,436 1,390 $96K
99460 1,737 1,699 $86K
99243 1,066 1,037 $83K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,619 2,231 $78K
90686 18,592 17,514 $77K
11721 9,430 8,806 $74K
96161 3,360 3,303 $72K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,265 3,175 $70K
99443 1,402 1,291 $61K
96160 3,386 3,214 $59K
96127 3,531 3,370 $53K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,542 1,294 $51K
83036 Hemoglobin; glycosylated (A1C) 9,116 8,762 $48K
99245 491 468 $46K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,413 1,347 $43K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,259 1,011 $43K
99308 Subsequent nursing facility care, per day, straightforward 2,662 1,994 $41K
99219 1,134 1,072 $41K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 2,455 1,643 $40K
99225 1,730 1,309 $38K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 542 529 $38K
95251 2,521 2,388 $36K
94375 4,253 4,050 $35K
31575 824 791 $32K
99479 Subsequent intensive care, per day, very low birth weight infant 301 67 $32K
73630 2,473 1,873 $31K
J0897 Injection, denosumab, 1 mg 92 89 $31K
51798 5,348 5,022 $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 786 733 $31K
93015 778 732 $31K
93298 3,260 2,967 $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) 9,855 9,524 $30K
93295 1,771 1,669 $29K
64615 736 682 $28K
99381 211 209 $28K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 276 253 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,812 5,920 $26K
93299 1,122 992 $26K
95012 2,358 2,242 $26K
99305 375 344 $26K
93296 3,196 3,033 $25K
94060 2,422 2,257 $24K
11056 2,518 2,325 $23K
20553 1,488 1,415 $23K
93224 429 409 $23K
95117 2,353 1,623 $22K
0001A 596 578 $22K
76819 Fetal biophysical profile; without non-stress testing 1,059 905 $22K
95800 402 234 $21K
99462 780 600 $20K
0002A 520 515 $20K
99188 936 779 $19K
94729 2,094 1,981 $18K
15275 501 238 $18K
36573 1,125 993 $18K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 673 612 $17K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 931 891 $17K
99464 274 267 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,620 931 $16K
99221 552 502 $16K
94010 1,677 1,581 $16K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,093 2,709 $15K
94728 2,482 2,394 $15K
93793 4,900 2,965 $15K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 137 134 $15K
99254 167 159 $14K
99252 371 350 $14K
20552 1,106 1,055 $14K
11044 128 71 $13K
76820 911 641 $13K
69210 1,167 1,108 $13K
95911 232 211 $13K
82962 10,769 10,041 $12K
36415 Collection of venous blood by venipuncture 5,459 5,124 $12K
93294 2,033 1,918 $12K
80305 3,163 3,080 $12K
94660 588 574 $11K
99284 Emergency department visit for the evaluation and management, high severity 183 166 $11K
99349 809 762 $10K
62323 239 232 $10K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 137 121 $9K
99350 Prolong home eval add 15m 694 629 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,239 1,019 $9K
90792 Psychiatric diagnostic evaluation with medical services 490 429 $9K
20610 509 407 $9K
94726 720 664 $9K
11720 2,129 1,967 $9K
31231 142 133 $9K
93458 38 38 $8K
96112 108 103 $8K
99236 Prolong inpt eval add15 m 47 45 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 352 328 $7K
99241 223 212 $7K
46600 192 183 $7K
0072A 188 174 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 803 682 $7K
99201 309 284 $7K
99477 26 25 $7K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 12 12 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 163 142 $6K
0071A 160 158 $6K
J2785 Injection, regadenoson, 0.1 mg 74 63 $6K
99480 Subsequent intensive care, per day, low birth weight infant 57 26 $6K
99310 Prolong nursin fac eval 15m 211 162 $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 507 496 $5K
94760 3,552 3,346 $5K
11719 1,949 1,840 $5K
90847 Family psychotherapy with the patient present, 50 minutes 76 41 $5K
92557 1,631 1,182 $4K
99306 Prolong nursin fac eval 15m 107 87 $4K
0064A 111 110 $4K
D0145 Oral evaluation for a patient under three years of age 327 317 $4K
83037 673 636 $4K
94664 418 396 $4K
52000 70 66 $3K
99385 25 25 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 38 38 $3K
99242 54 53 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 348 281 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 702 641 $3K
99490 Ccm add 20min 173 163 $3K
D1206 Topical application of fluoride varnish 138 132 $3K
36410 1,028 866 $2K
93280 364 344 $2K
81002 7,914 7,322 $2K
99441 1,295 1,234 $2K
93297 416 388 $2K
76818 44 38 $2K
76830 Ultrasound, transvaginal 40 38 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 62 54 $2K
54150 59 28 $2K
36569 79 74 $2K
90651 134 133 $2K
64493 31 28 $2K
92567 1,723 1,283 $2K
99050 110 105 $2K
73562 139 137 $1K
99348 148 138 $1K
64494 45 39 $1K
94727 194 185 $1K
76937 268 244 $1K
0003A 46 31 $1K
90832 Psychotherapy, 30 minutes with patient 197 75 $1K
99307 56 54 $1K
99152 95 92 $1K
95910 27 27 $1K
92015 Determination of refractive state 31 30 $1K
90715 39 38 $1K
83013 27 25 $1K
99316 57 54 $1K
95250 26 25 $1K
92060 37 35 $1K
90839 41 37 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 532 502 $1K
97597 89 62 $1K
11055 130 120 $1K
91322 17 14 $1K
0004A 51 25 $960.00
99459 64 64 $852.17
99283 Emergency department visit for the evaluation and management, moderate severity 37 30 $809.16
99251 32 32 $808.96
99407 69 65 $795.22
99218 36 36 $765.00
94618 66 66 $752.85
94250 412 343 $739.50
90688 51 46 $731.44
93018 130 129 $730.86
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing 62 59 $670.60
90620 15 12 $669.00
92551 104 102 $654.18
93016 75 74 $643.05
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 15 15 $603.90
95886 31 26 $574.40
90461 1,982 1,928 $545.32
92250 15 15 $530.16
17110 28 24 $527.54
0111A 13 13 $520.00
11100 16 12 $444.46
81025 91 90 $440.64
20550 14 12 $431.50
76536 12 12 $419.86
99497 88 57 $382.43
90662 41 40 $379.81
90756 18 17 $364.64
93325 166 158 $357.28
88738 1,271 1,183 $335.39
90472 Immunization administration, each additional vaccine (list separately) 13 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 28 27 $306.28
93321 65 62 $305.04
93308 27 24 $303.48
90677 197 195 $288.66
99173 37 37 $281.20
90674 18 16 $264.55
29540 18 14 $253.90
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 723 249 $251.32
93227 30 25 $245.70
99406 25 25 $186.11
93320 15 15 $179.55
99304 27 22 $169.45
81003 948 888 $160.54
90656 1,800 1,729 $156.45
83014 27 25 $143.74
11057 12 12 $137.38
85018 1,712 1,659 $133.98
17250 15 12 $127.68
82947 53 50 $118.30
93923 13 12 $81.90
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 478 179 $77.10
97035 12 12 $76.08
36416 31 29 $72.87
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 51 48 $52.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg 83 76 $40.47
95874 25 25 $35.82
85610 15 13 $33.86
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 58 56 $0.76
1124F 502 483 $0.00
90670 484 475 $0.00
90633 12 12 $0.00
91300 1,324 1,140 $0.00
90685 55 55 $0.00
90653 12 12 $0.00
90734 28 24 $0.00
91311 16 16 $0.00
97161 13 12 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 62 60 $0.00
90723 55 54 $0.00
90680 79 77 $0.00
99000 252 245 $0.00
91307 444 392 $0.00
1123F 40 40 $0.00
90698 278 268 $0.00
G0008 Administration of influenza virus vaccine 87 84 $0.00
91306 110 109 $0.00
91305 88 47 $0.00
90619 14 13 $0.00
J3490 Unclassified drugs 15 14 $0.00
90647 26 26 $0.00
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 150 147 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $0.00