NP / PA
West Haven Pediatrics, LLC
West Haven Pediatrics, LLC was paid $3.53M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoWEST HAVEN PEDIATRICS, LLC
WEST HAVEN, CT 06516
WEST HAVEN, CT 06516
33aNPI1104294644assigned 09/14/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$3.53M
24GClaims90,647
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Connecticut
Rank by total paid#9 of 108
Median peer was paid$32K
This provider vs. median109×
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 | 17,305 | $595K | |
| 2019 | 15,638 | $547K | |
| 2020 | 11,825 | $438K | |
| 2021 | 12,814 | $508K | |
| 2022 | 11,507 | $476K | |
| 2023 | 11,251 | $495K | |
| 2024incomplete | 10,307 | $470K |
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 | 21% | 7,295 | 6,629 | $739K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 10,737 | 9,434 | $715K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 10,259 | 9,683 | $392K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,676 | 3,530 | $376K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 2,995 | 2,879 | $304K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 2,854 | 2,633 | $279K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 2,058 | 1,918 | $218K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.2% | 1,573 | 1,465 | $217K |
| 99174 | 1.3% | 2,531 | 2,423 | $46K | |
| 99173 | 1.0% | 5,288 | 4,960 | $36K | |
| 92551 | <1% | 5,604 | 5,262 | $33K | |
| 36416 | <1% | 8,974 | 8,465 | $28K |
43 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,666 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,490 | $25K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 704 | $25K |
| 96127 | <1% | 1,118 | $12K | |
| 83655 | <1% | 958 | $10K | |
| 99442 | <1% | 219 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 200 | $8K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 645 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 28 | $5K |
| 99381 | <1% | 41 | $5K | |
| 96161 | <1% | 244 | $4K | |
| 80061 | Lipid panel | <1% | 363 | $3K |
| 99070 | <1% | 1,215 | $2K | |
| 94760 | <1% | 1,443 | $2K | |
| 99443 | <1% | 12 | $714.89 | |
| 95012 | <1% | 61 | $647.40 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 118 | $614.72 |
| 99188 | <1% | 12 | $240.00 | |
| 81002 | <1% | 182 | $2.44 | |
| 90677 | <1% | 153 | $0.58 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 230 | $0.08 |
| 90686 | <1% | 4,618 | $0.01 | |
| 90685 | <1% | 30 | $0.01 | |
| 90723 | 0% | 759 | $0.00 | |
| 85018 | 0% | 14 | $0.00 | |
| 90696 | 0% | 158 | $0.00 | |
| 90698 | 0% | 642 | $0.00 | |
| 90651 | 0% | 594 | $0.00 | |
| 99000 | 0% | 57 | $0.00 | |
| 90697 | 0% | 69 | $0.00 | |
| 90716 | 0% | 128 | $0.00 | |
| 90656 | 0% | 240 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 14 | $0.00 |
| 90707 | 0% | 109 | $0.00 | |
| 90734 | 0% | 780 | $0.00 | |
| 90670 | 0% | 2,017 | $0.00 | |
| 90681 | 0% | 645 | $0.00 | |
| 90648 | 0% | 728 | $0.00 | |
| 90633 | 0% | 1,059 | $0.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 642 | $0.00 |
| 90715 | 0% | 152 | $0.00 | |
| 90710 | 0% | 181 | $0.00 | |
| J7614 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg | 0% | 65 | $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 officialJACOB, JOBEY (OWNER)