Connecticut Mental Health Specialists INC

Connecticut Mental Health Specialists INC was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 23% of everything it billed.

33Billing provider infoCONNECTICUT MENTAL HEALTH SPECIALISTS INC
FARMINGTON, CT 06032

33aNPI1053362814assigned 05/15/2006

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$1.09M

24GClaims171,834

24DCodes billed57

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Connecticut

Rank by total paid#3 of 108

Median peer was paid$28K

This provider vs. median39×

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	29,513	$175K
2019	34,756	$216K
2020	27,344	$164K
2021	22,215	$133K
2022	22,539	$160K
2023	16,970	$114K
2024incomplete	18,497	$129K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	23%	38,223	28,854	$252K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	16%	32,229	13,137	$175K
99310	Prolong nursin fac eval 15m	14%	15,126	11,498	$157K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	13%	6,771	5,645	$146K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.0%	6,838	5,999	$76K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	6.1%	6,033	2,556	$67K
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	5.3%	3,530	2,977	$58K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.2%	12,936	2,254	$46K
99308	Subsequent nursing facility care, per day, straightforward	2.6%	5,822	4,778	$29K
99337		1.9%	686	464	$21K
99484		1.7%	1,949	1,692	$19K
99336		1.4%	1,787	1,382	$15K

45 more codes

99306	Prolong nursin fac eval 15m	<1%	844	$6K
90791	Psychiatric diagnostic evaluation	<1%	945	$6K
90792	Psychiatric diagnostic evaluation with medical services	<1%	322	$4K
99349		<1%	238	$3K
99328		<1%	75	$2K
99350	Prolong home eval add 15m	<1%	32	$2K
90837	Psychotherapy session, about an hour	<1%	190	$2K
99348		<1%	70	$963.47
96101		<1%	380	$794.68
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	329	$550.43
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	111	$462.78
99205	Prolong outpt/office vis	<1%	35	$451.24
99238	Hospital discharge day management, 30 minutes or less	<1%	18	$244.98
99239	Hospital discharge day management, more than 30 minutes	<1%	27	$164.52
99335		<1%	130	$59.60
96136		<1%	173	$16.32
96137		<1%	45	$12.39
G9744	Patient not eligible due to active diagnosis of hypertension	<1%	9,235	$0.14
G9717	Documentation stating the patient has had a diagnosis of bipolar disorder	<1%	10,969	$0.07
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	942	$0.02
G9919	Screening performed and positive and provision of recommendations	0%	228	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	2,117	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	1,807	$0.00
G9916	Functional status performed once in the last 12 months	0%	440	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	1,059	$0.00
G8421	Bmi not documented and no reason is given	0%	3,175	$0.00
99223	Prolong inpt eval add15 m	0%	14	$0.00
G9920	Screening performed and negative	0%	472	$0.00
G9923	Safety concerns screen provided and negative	0%	24	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	72	$0.00
96130		0%	156	$0.00
G8938	Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible	0%	18	$0.00
99347		0%	13	$0.00
G8422	Bmi not documented, documentation the patient is not eligible for bmi calculation	0%	1,302	$0.00
G8433	Screening for depression not completed, documented patient or medical reason	0%	1,379	$0.00
G8432	Depression screening not documented, reason not given	0%	570	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	912	$0.00
G9745	Documented reason for not screening or recommending a follow-up for high blood pressure	0%	338	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	107	$0.00
G2181	Bmi not documented due to medical reason or patient refusal of height or weight measurement	0%	395	$0.00
96131		0%	111	$0.00
G9716	Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason	0%	31	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	30	$0.00
G9922	Safety concerns screen provided and if positive then documented mitigation recommendations	0%	12	$0.00
G9512	Individual had a pdc of 0.8 or greater	0%	12	$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 officialKRISCENSKI, DANA (OFFICE MANAGER)