Physician
Manchester Pediatric Associates LLC
Manchester Pediatric Associates LLC was paid $11.10M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoMANCHESTER PEDIATRIC ASSOCIATES LLC
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
33aNPI1053612911assigned 11/09/2010
33bProvider typePediatrics Physician
28Total paid$11.10M
24GClaims303,264
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#4 of 162
Median peer was paid$313K
This provider vs. median35×
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 | 52,740 | $1.82M | |
| 2019 | 60,071 | $1.90M | |
| 2020 | 53,432 | $1.90M | |
| 2021 | 44,335 | $1.62M | |
| 2022 | 30,575 | $1.29M | |
| 2023 | 33,964 | $1.42M | |
| 2024incomplete | 28,147 | $1.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 53,438 | 44,639 | $3.54M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 9,459 | 8,672 | $1.02M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 9,235 | 7,656 | $927K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 8,501 | 7,711 | $886K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 23,568 | 21,256 | $882K |
| 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 | 6.1% | 7,457 | 6,026 | $674K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 4,848 | 4,432 | $541K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 18,008 | 16,460 | $383K |
| 96127 | 2.7% | 13,773 | 12,251 | $300K | |
| 99177 | 2.7% | 17,619 | 16,072 | $299K | |
| 92587 | 2.6% | 13,444 | 12,027 | $290K | |
| 96160 | 2.4% | 14,266 | 12,808 | $270K |
78 more codes
| 96161 | 2.3% | 15,961 | $251K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.2% | 1,974 | $241K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 7,404 | $144K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,953 | $67K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,858 | $53K |
| 92551 | <1% | 7,383 | $40K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 376 | $39K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 533 | $35K |
| 36416 | <1% | 9,288 | $28K | |
| 92558 | <1% | 1,059 | $22K | |
| 99381 | <1% | 246 | $20K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 95 | $16K |
| 99188 | <1% | 656 | $14K | |
| 83655 | <1% | 1,282 | $13K | |
| 92015 | Determination of refractive state | <1% | 349 | $9K |
| 99460 | <1% | 193 | $8K | |
| 99383 | <1% | 71 | $7K | |
| 90651 | <1% | 1,363 | $7K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 105 | $7K |
| 99173 | <1% | 1,215 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 195 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 47 | $6K |
| 80061 | Lipid panel | <1% | 466 | $5K |
| 99051 | <1% | 701 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 140 | $5K |
| 99382 | <1% | 45 | $5K | |
| 99384 | <1% | 31 | $4K | |
| 0071A | <1% | 99 | $3K | |
| 0072A | <1% | 83 | $3K | |
| 90620 | <1% | 249 | $2K | |
| 99174 | <1% | 145 | $2K | |
| 90686 | <1% | 12,964 | $2K | |
| 0001A | <1% | 54 | $2K | |
| 0002A | <1% | 27 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 52 | $893.10 |
| 94760 | <1% | 573 | $828.34 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 23 | $522.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 304 | $476.10 |
| D1206 | Topical application of fluoride varnish | <1% | 18 | $446.40 |
| 99462 | <1% | 22 | $435.68 | |
| 92552 | <1% | 38 | $339.92 | |
| 85018 | <1% | 15,768 | $330.04 | |
| 87807 | <1% | 30 | $295.47 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 32 | $256.80 |
| 90734 | <1% | 820 | $243.22 | |
| 82947 | <1% | 53 | $146.25 | |
| 82465 | <1% | 28 | $103.75 | |
| 90656 | <1% | 18 | $86.85 | |
| 90716 | <1% | 445 | $50.00 | |
| 88720 | <1% | 15 | $47.41 | |
| 81000 | <1% | 36 | $36.24 | |
| 90715 | <1% | 300 | $32.35 | |
| 90671 | <1% | 507 | $0.35 | |
| 90658 | <1% | 994 | $0.14 | |
| 90648 | <1% | 507 | $0.02 | |
| 90670 | <1% | 3,324 | $0.02 | |
| 90633 | <1% | 1,718 | $0.01 | |
| 90700 | <1% | 52 | $0.01 | |
| 90685 | <1% | 111 | $0.01 | |
| 90723 | <1% | 1,289 | $0.01 | |
| 90696 | <1% | 322 | $0.01 | |
| 90707 | 0% | 440 | $0.00 | |
| 90461 | 0% | 135 | $0.00 | |
| 99072 | 0% | 2,025 | $0.00 | |
| 90710 | 0% | 285 | $0.00 | |
| 81002 | 0% | 47 | $0.00 | |
| 91300 | 0% | 136 | $0.00 | |
| 81003 | 0% | 15 | $0.00 | |
| 90681 | 0% | 44 | $0.00 | |
| 97802 | 0% | 1,490 | $0.00 | |
| 90647 | 0% | 843 | $0.00 | |
| 90619 | 0% | 84 | $0.00 | |
| 90680 | 0% | 1,503 | $0.00 | |
| 90698 | 0% | 1,073 | $0.00 | |
| 99000 | 0% | 801 | $0.00 | |
| 90744 | 0% | 437 | $0.00 | |
| 91307 | 0% | 243 | $0.00 | |
| 90677 | 0% | 38 | $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 officialMELEKOTE, SWATHANTHRA (OWNER)