Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MHS PRIMARY CARE INC

NPI: 1093138935 · OLD SAYBROOK, CT 06475 · Family Medicine Physician · NPI assigned 01/29/2014

$1.18M
Total Medicaid Paid
32,784
Total Claims
30,232
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTIN, SUSAN (VP FINANCE)
Parent OrganizationMHS PRIMARY CARE INC
NPI Enumeration Date01/29/2014

Related Entities

Other providers sharing the same authorized official: MARTIN, SUSAN

ProviderCityStateTotal Paid
MHS PRIMARY CARE, INC MIDDLETOWN CT $5.38M
PENNSYLVANIA RETINA SPECIALISTS PC CAMP HILL PA $596K
MHS PRIMARY CARE INC. MIDDLETOWN CT $376K
PEDIATRIC THERAPY WORKS, LLC BONO AR $55K
MHS PRIMARY CARE INC MIDDLETOWN CT $14K
SUSAN A. MARTIN NP LLC LAWRENCEBURG IN $2K
MHS PRIMARY CARE INC ESSEX CT $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,689 $188K
2019 3,450 $164K
2020 3,470 $107K
2021 4,549 $130K
2022 5,706 $164K
2023 5,991 $212K
2024 5,929 $213K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,141 17,518 $674K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,249 3,985 $269K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,050 1,955 $134K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,968 1,864 $45K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,991 1,826 $24K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,723 1,584 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,024 938 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 271 207 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 28 28 $2K
99442 42 39 $1K
71046 Radiologic examination, chest; 2 views 81 80 $1K
99441 134 132 $18.89
81003 82 76 $1.93