Physician
East Avenue Pediatrics PC
East Avenue Pediatrics PC was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoEAST AVENUE PEDIATRICS PC
NORWALK, CT 06851
NORWALK, CT 06851
33aNPI1093092165assigned 11/03/2011
33bProvider typePediatrics Physician
28Total paid$1.85M
24GClaims46,297
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#35 of 162
Median peer was paid$313K
This provider vs. median5.9×
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 | 8,564 | $413K | |
| 2019 | 10,904 | $389K | |
| 2020 | 7,174 | $272K | |
| 2021 | 5,821 | $242K | |
| 2022 | 5,344 | $219K | |
| 2023 | 4,645 | $172K | |
| 2024incomplete | 3,845 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 24% | 4,240 | 3,820 | $439K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 6,051 | 5,240 | $425K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 15% | 2,481 | 2,358 | $275K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 2,148 | 2,069 | $224K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.8% | 5,833 | 5,481 | $183K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 733 | 693 | $81K |
| 96127 | 2.5% | 2,822 | 2,638 | $46K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 435 | 395 | $44K |
| 99173 | 2.1% | 5,552 | 5,289 | $39K | |
| 92551 | 1.9% | 5,791 | 5,514 | $35K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 277 | 263 | $31K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 798 | 743 | $8K |
20 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 359 | $8K |
| 99174 | <1% | 391 | $7K | |
| 36416 | <1% | 1,561 | $5K | |
| 81005 | <1% | 1,437 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 143 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $62.67 |
| 90734 | 0% | 452 | $0.00 | |
| 90685 | 0% | 85 | $0.00 | |
| 90670 | 0% | 178 | $0.00 | |
| 90710 | 0% | 41 | $0.00 | |
| 90672 | 0% | 154 | $0.00 | |
| 90715 | 0% | 54 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 90686 | 0% | 2,580 | $0.00 | |
| 90651 | 0% | 427 | $0.00 | |
| 85018 | 0% | 742 | $0.00 | |
| 90620 | 0% | 164 | $0.00 | |
| 90698 | 0% | 85 | $0.00 | |
| 90674 | 0% | 220 | $0.00 | |
| 90744 | 0% | 30 | $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 officialRUEDA-MATIK, LIBIA (PHYSICIAN)