Physician
Abc Pediatrics LLC
Abc Pediatrics LLC was paid $1.68M by Medicaid between Mar 2022 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoABC PEDIATRICS LLC
MANCHESTER, CT 06040
MANCHESTER, CT 06040
33aNPI1083366314assigned 01/18/2022
33bProvider typePediatrics Physician
28Total paid$1.68M
24GClaims43,857
24DCodes billed38
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#39 of 162
Median peer was paid$313K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2022 | 14,127 | $503K | |
| 2023 | 16,527 | $629K | |
| 2024incomplete | 13,203 | $552K |
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 | 39% | 9,862 | 7,551 | $658K |
| 96127 | 8.8% | 6,399 | 4,417 | $148K | |
| 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 | 8.5% | 1,470 | 1,240 | $144K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 1,305 | 1,070 | $133K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 1,266 | 1,067 | $125K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 4,302 | 2,911 | $92K |
| 92558 | 3.9% | 3,657 | 2,966 | $66K | |
| 99174 | 3.6% | 4,257 | 3,457 | $61K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 483 | 415 | $57K |
| 96160 | 3.2% | 3,351 | 2,714 | $53K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 1,156 | 892 | $44K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 320 | 263 | $34K |
26 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 1,694 | $32K |
| 99188 | <1% | 714 | $14K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 203 | $7K |
| 92587 | <1% | 236 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 36 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 386 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 71 | $2K |
| 99442 | <1% | 37 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $261.07 |
| 99050 | <1% | 15 | $225.12 | |
| 83655 | <1% | 23 | $197.64 | |
| 99173 | <1% | 18 | $91.20 | |
| 90686 | <1% | 1,039 | $21.56 | |
| 90734 | <1% | 83 | $0.01 | |
| 90670 | 0% | 91 | $0.00 | |
| 90461 | 0% | 905 | $0.00 | |
| 90671 | 0% | 13 | $0.00 | |
| 90715 | 0% | 39 | $0.00 | |
| 90707 | 0% | 14 | $0.00 | |
| 85018 | 0% | 31 | $0.00 | |
| 90656 | 0% | 167 | $0.00 | |
| 90651 | 0% | 44 | $0.00 | |
| 90619 | 0% | 63 | $0.00 | |
| 90723 | 0% | 30 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 26 | $0.00 |
| 90716 | 0% | 19 | $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 officialKHERA, ANJUM (MD)