Physician
MHS Primary Care INC
MHS Primary Care INC was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoMHS PRIMARY CARE INC
OLD SAYBROOK, CT 06475
OLD SAYBROOK, CT 06475
33aNPI1093138935assigned 01/29/2014
33bProvider typeFamily Medicine Physician
28Total paid$1.18M
24GClaims32,784
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Connecticut
Rank by total paid#11 of 139
Median peer was paid$35K
This provider vs. median33×
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 | 3,689 | $188K | |
| 2019 | 3,450 | $164K | |
| 2020 | 3,470 | $107K | |
| 2021 | 4,549 | $130K | |
| 2022 | 5,706 | $164K | |
| 2023 | 5,991 | $212K | |
| 2024incomplete | 5,929 | $213K |
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 | 57% | 19,141 | 17,518 | $674K |
| 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 | 23% | 4,249 | 3,985 | $269K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 2,050 | 1,955 | $134K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.8% | 1,968 | 1,864 | $45K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.1% | 1,991 | 1,826 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,723 | 1,584 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,024 | 938 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 271 | 207 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 28 | 28 | $2K |
| 99442 | <1% | 42 | 39 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 81 | 80 | $1K |
| 99441 | <1% | 134 | 132 | $18.89 |
1 more codes
| 81003 | <1% | 82 | $1.93 |
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 officialMARTIN, SUSAN (VP FINANCE)
Parent organizationMHS PRIMARY CARE INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.