NP / PA
ST Vincent's Multispecialty Group, INC.
ST Vincent's Multispecialty Group, INC. was paid $9.86M by Medicaid between Jan 2018 and Dec 2024, across 113 billing codes. Its largest line is 99285, emergency room visit (most serious) — 21% of everything it billed.
33Billing provider infoST VINCENT'S MULTISPECIALTY GROUP, INC.
TORRINGTON, CT 06790
TORRINGTON, CT 06790
33aNPI1043544489assigned 10/01/2009
33bProvider typeFamily Nurse Practitioner
28Total paid$9.86M
24GClaims283,532
24DCodes billed113
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Connecticut
Rank by total paid#1 of 108
Median peer was paid$32K
This provider vs. median304×
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 | 103,104 | $3.58M | |
| 2019 | 102,054 | $3.57M | |
| 2020 | 75,411 | $2.67M | |
| 2021 | 224 | $3K | |
| 2022 | 1,207 | $20K | |
| 2023 | 759 | $10K | |
| 2024incomplete | 773 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 21% | 33,199 | 26,793 | $2.06M |
| 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% | 37,245 | 28,974 | $2.00M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 26,383 | 22,761 | $1.30M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.7% | 49,821 | 12,357 | $959K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 19,185 | 15,847 | $795K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.8% | 19,419 | 17,339 | $572K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.5% | 18,534 | 7,051 | $245K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.2% | 3,823 | 1,854 | $213K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.0% | 8,331 | 3,245 | $200K |
| 99223 | Prolong inpt eval add15 m | 1.5% | 3,773 | 2,609 | $151K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.5% | 1,205 | 1,103 | $145K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 2,930 | 2,561 | $141K |
101 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.2% | 9,401 | $115K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,727 | $88K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 2,890 | $84K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 2,920 | $77K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 487 | $56K |
| 99254 | <1% | 601 | $46K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 643 | $44K |
| 96127 | <1% | 6,121 | $41K | |
| 99221 | <1% | 880 | $32K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,673 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,344 | $27K |
| 90674 | <1% | 2,327 | $25K | |
| 76801 | <1% | 868 | $24K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 718 | $23K |
| 76813 | <1% | 782 | $23K | |
| 59025 | Fetal non-stress test | <1% | 497 | $19K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 231 | $19K |
| 99243 | <1% | 237 | $19K | |
| 99219 | <1% | 724 | $18K | |
| 99220 | <1% | 542 | $17K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 341 | $17K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 340 | $17K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 954 | $16K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 659 | $16K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 508 | $15K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 486 | $15K |
| 98968 | <1% | 724 | $14K | |
| 99242 | <1% | 239 | $14K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 309 | $11K |
| 99442 | <1% | 293 | $11K | |
| 99460 | <1% | 225 | $10K | |
| 93000 | <1% | 560 | $7K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 191 | $6K |
| 90686 | <1% | 661 | $6K | |
| 90715 | <1% | 472 | $6K | |
| 90656 | <1% | 474 | $5K | |
| 91320 | <1% | 48 | $5K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 39 | $4K |
| 99443 | <1% | 80 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 120 | $4K |
| 20610 | <1% | 149 | $4K | |
| 99245 | <1% | 26 | $4K | |
| 0124A | <1% | 110 | $4K | |
| 99406 | <1% | 424 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,977 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 657 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 109 | $3K |
| 92541 | <1% | 431 | $2K | |
| 98967 | <1% | 312 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 61 | $2K |
| 99252 | <1% | 56 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 140 | $2K |
| 82947 | <1% | 829 | $2K | |
| 99217 | <1% | 142 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 123 | $2K |
| 99255 | <1% | 17 | $2K | |
| 99201 | <1% | 84 | $2K | |
| 99385 | <1% | 14 | $2K | |
| 90750 | <1% | 49 | $1K | |
| 99253 | <1% | 19 | $1K | |
| 43775 | <1% | 22 | $1K | |
| 0054A | <1% | 51 | $1K | |
| 90746 | <1% | 18 | $1K | |
| 0003A | <1% | 26 | $960.00 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 51 | $944.58 |
| 90662 | <1% | 138 | $903.51 | |
| 99462 | <1% | 32 | $816.90 | |
| 0004A | <1% | 23 | $720.00 | |
| 83037 | <1% | 151 | $704.52 | |
| 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% | 270 | $532.26 |
| 72100 | <1% | 29 | $466.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 53 | $465.46 |
| 0064A | <1% | 15 | $440.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 72 | $278.36 |
| 73560 | <1% | 16 | $268.04 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,986 | $239.52 |
| 73562 | <1% | 15 | $200.13 | |
| 90732 | <1% | 22 | $175.00 | |
| 80061 | Lipid panel | <1% | 14 | $139.13 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | $134.03 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 100 | $122.04 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 16 | $94.95 |
| 81003 | <1% | 926 | $73.44 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 20 | $58.99 |
| 99441 | <1% | 215 | $50.15 | |
| 82962 | <1% | 30 | $31.36 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 142 | $7.80 |
| 81002 | <1% | 17 | $4.53 | |
| T1503 | Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit | 0% | 40 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 701 | $0.00 |
| 96040 | 0% | 443 | $0.00 | |
| 91305 | 0% | 114 | $0.00 | |
| 1101F | 0% | 63 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 20 | $0.00 |
| 91306 | 0% | 15 | $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% | 15 | $0.00 |
| 3300F | 0% | 326 | $0.00 | |
| 11721 | 0% | 26 | $0.00 | |
| 11056 | 0% | 183 | $0.00 | |
| 91300 | 0% | 78 | $0.00 | |
| 91312 | 0% | 108 | $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 officialPRETE, MARK (PRESIDENT)
Parent organizationST VINCENT'S MULTISPECIALTY GROUP, INC
| Provider | Location | Paid |
|---|---|---|
| NWCT Emergency Medicine, PC | Torrington, CT | $938K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.