CLEANSLATE MEDICAL GROUP OF CONNECTICUT LLC
NPI: 1073057071
· HARTFORD, CT 06105
· Internal Medicine Physician
· NPI assigned 12/09/2016
$730K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HUTCHISON, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,807 |
$106K |
| 2019 |
9,633 |
$143K |
| 2020 |
4,789 |
$150K |
| 2021 |
3,964 |
$167K |
| 2022 |
3,451 |
$144K |
| 2023 |
581 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,211 |
6,267 |
$404K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,811 |
5,880 |
$309K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
183 |
91 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
236 |
184 |
$4K |
| 98967 |
|
68 |
46 |
$2K |
| 80305 |
|
1,175 |
521 |
$2K |
| 99406 |
|
198 |
149 |
$992.80 |
| 81025 |
|
270 |
127 |
$748.96 |
| 99484 |
|
13 |
12 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
60 |
44 |
$0.00 |