Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › MANCHESTER › PROSPECT CT MEDICAL FOUNDATION, INC.

PROSPECT CT MEDICAL FOUNDATION, INC.

NPI: 1144677568 · MANCHESTER, CT 06040 · 1041C0700X

$34.07M
Total Medicaid Paid
1,348,275
Total Claims
1,131,128
Beneficiaries
256
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 167,437 $5.09M
2019 188,735 $5.54M
2020 162,075 $4.32M
2021 201,668 $4.89M
2022 227,087 $5.15M
2023 209,354 $4.75M
2024 191,919 $4.33M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 196,695 164,513 $10.31M
99213 196,798 169,268 $8.12M
J0585 Injection,onabotulinumtoxina 3,620 1,653 $1.52M
99232 49,356 18,609 $973K
99391 8,238 7,341 $929K
90460 25,074 23,043 $898K
99392 7,291 6,954 $840K
99284 15,281 14,052 $739K
99285 10,793 9,952 $724K
99393 4,227 4,058 $464K
99233 Prolong inpt eval add15 m 17,626 8,953 $452K
99215 Prolong outpt/office vis 7,373 6,237 $428K
90791 13,721 9,282 $412K
99308 15,898 13,951 $378K
99231 24,809 9,211 $362K
99394 3,023 2,840 $323K
99239 10,436 9,436 $320K
93306 6,077 5,395 $278K
99223 Prolong inpt eval add15 m 5,744 5,009 $262K
93010 73,206 60,084 $258K
99395 3,865 3,388 $245K
99305 3,757 3,353 $238K
99283 8,981 8,289 $235K
96110 9,407 9,026 $210K
99204 2,383 2,079 $193K
99244 1,626 1,509 $186K
99309 3,952 3,591 $147K
96127 8,633 8,027 $147K
76805 1,116 1,043 $144K
99396 1,634 1,448 $127K
95810 1,417 1,332 $113K
90853 7,903 3,267 $112K
99442 5,792 4,945 $106K
43239 2,117 1,929 $99K
99173 13,617 12,869 $92K
99238 3,642 3,307 $89K
99460 2,524 2,318 $87K
99222 2,104 1,857 $87K
94010 10,137 8,004 $84K
87635 2,541 2,400 $84K
99203 1,685 1,500 $83K
92551 13,618 12,857 $79K
45380 958 873 $76K
64615 1,781 1,580 $75K
76775 2,421 2,080 $72K
99443 1,927 1,616 $72K
99220 1,280 1,172 $68K
36416 24,677 23,245 $66K
98926 3,906 3,370 $64K
90960 854 702 $59K
90792 798 710 $56K
87804 3,342 2,740 $55K
76830 935 857 $52K
99318 1,304 1,203 $52K
99464 1,113 1,015 $51K
87651 1,772 1,653 $51K
90686 11,590 10,952 $50K
99307 6,653 4,407 $48K
83036 9,278 8,578 $46K
99051 6,256 5,829 $45K
99291 686 414 $44K
99212 2,371 1,938 $43K
87880 4,031 3,696 $40K
99417 Prolong home eval add 15m 584 534 $39K
98927 1,848 1,611 $37K
76817 461 397 $33K
90832 1,497 543 $33K
99462 1,699 1,467 $33K
36415 11,483 9,620 $32K
94729 2,181 1,730 $30K
51798 6,625 5,552 $30K
96372 2,461 2,019 $30K
93000 3,718 3,078 $28K
95251 1,888 1,735 $26K
99243 304 293 $25K
99254 348 280 $24K
99253 551 429 $22K
97597 2,022 1,109 $22K
81025 4,379 3,647 $21K
94060 870 744 $18K
45385 162 145 $18K
20610 970 675 $14K
99219 382 349 $14K
96160 989 882 $14K
99217 559 524 $13K
95811 157 146 $13K
99349 902 648 $12K
99306 Prolong nursin fac eval 15m 244 200 $12K
95816 662 549 $12K
77067 156 151 $11K
G8510 Scr dep neg, no plan reqd 2,067 1,943 $11K
95886 183 166 $11K
51700 316 188 $11K
73564 868 556 $11K
76801 102 96 $10K
93923 134 119 $10K
73110 847 524 $10K
94726 529 447 $9K
98925 676 611 $8K
99221 216 192 $8K
11042 789 411 $8K
76813 96 92 $7K
90471 6,084 5,441 $7K
99497 529 332 $7K
59025 142 112 $7K
95004 47 46 $6K
98967 177 89 $6K
73030 729 486 $6K
93356 524 472 $6K
95117 516 183 $5K
99385 51 42 $5K
95923 103 89 $4K
99205 Prolong outpt/office vis 47 40 $4K
G2211 Complex e/m visit add on 1,132 987 $4K
99202 85 72 $4K
87210 1,232 1,087 $4K
45378 45 42 $4K
73130 362 223 $3K
99374 117 103 $3K
95806 67 64 $3K
J1040 Methylprednisolone 80 mg inj 614 424 $3K
99356 283 217 $3K
95911 29 25 $3K
99335 124 102 $3K
G0439 Ppps, subseq visit 100 68 $3K
95921 120 103 $3K
99383 36 29 $3K
98968 64 29 $3K
90688 366 312 $2K
93016 289 267 $2K
46600 58 54 $2K
94640 257 241 $2K
90662 372 345 $2K
76816 31 25 $2K
99245 14 12 $2K
99402 42 32 $2K
99384 17 16 $2K
99386 14 12 $2K
93244 166 151 $2K
94727 121 111 $2K
95885 27 27 $2K
J1010 Inj, methylpred acetate 1 mg 547 386 $1K
99252 79 43 $1K
81003 13,746 11,845 $1K
93018 267 251 $1K
81002 24,734 22,586 $1K
99441 278 232 $1K
90620 265 247 $1K
99188 52 49 $1K
73140 136 98 $1K
93242 165 151 $1K
85018 15,384 14,512 $1K
J1030 Methylprednisolone 40 mg inj 277 194 $978.21
G0179 Md recertification hha pt 60 55 $924.14
99397 44 31 $897.28
98928 30 28 $872.64
99408 48 43 $801.06
87807 77 73 $800.41
J1580 Garamycin gentamicin inj 441 256 $682.68
99348 26 25 $678.75
99350 Prolong home eval add 15m 14 13 $658.99
82270 275 241 $635.43
72110 33 27 $629.22
20550 32 27 $609.58
82962 502 450 $599.39
D0145 20 18 $558.00
52000 15 13 $547.82
90961 17 13 $531.39
J1644 Inj heparin sodium per 1000u 362 209 $497.93
D1206 20 18 $446.40
96161 51 46 $440.00
72040 28 27 $439.10
76536 13 12 $419.86
51702 40 29 $406.07
72050 13 13 $398.64
82947 122 108 $390.82
90715 46 40 $388.08
99211 86 59 $349.60
73502 21 14 $343.07
93005 140 125 $299.45
95249 13 12 $259.20
90651 271 257 $252.85
99406 61 51 $246.06
90734 418 392 $244.02
43450 15 12 $232.10
80305 44 37 $229.54
94761 107 101 $229.12
J1020 Methylprednisolone 20 mg inj 47 26 $182.76
G2212 Prolong outpt/office vis 144 123 $133.10
G2010 Remot image submit by pt 38 30 $116.62
0296T 31 27 $115.73
0298T 31 27 $109.33
90656 835 811 $89.40
J3420 Vitamin b12 injection 125 101 $89.21
90472 12 12 $70.95
J3301 Triamcinolone acet inj nos 14 13 $57.10
99058 96 88 $52.31
G0008 Admin influenza virus vac 242 240 $45.87
94618 17 13 $43.02
J7613 Albuterol non-comp unit 1,068 930 $37.78
11721 13 12 $29.20
A7003 Nebulizer administration set 606 532 $21.85
99000 18,853 16,311 $17.73
93040 130 114 $16.45
J1050 Medroxyprogesterone acetate 574 537 $4.56
3008F 121,808 110,261 $0.63
1160F 80,932 73,407 $0.44
90671 592 579 $0.32
G8431 Pos clin depres scrn f/u doc 113 103 $0.21
1126F 22,061 20,288 $0.16
J2357 Omalizumab injection 12 12 $0.12
90685 383 349 $0.07
1125F 13,859 12,464 $0.04
90680 2,371 2,274 $0.02
90670 3,895 3,704 $0.02
3074F 2,078 1,935 $0.01
1000F 311 285 $0.01
1159F 23,311 21,528 $0.01
2028F 2,482 2,376 $0.01
3078F 2,129 1,995 $0.01
90723 1,775 1,704 $0.00
1036F 187 169 $0.00
90697 541 523 $0.00
3079F 671 621 $0.00
1101F 663 607 $0.00
3075F 54 51 $0.00
A4270 Disposable endoscope sheath 341 202 $0.00
90694 150 115 $0.00
1170F 43 33 $0.00
90696 12 12 $0.00
3017F 34 29 $0.00
1111F 27 26 $0.00
97802 12 12 $0.00
90732 13 12 $0.00
3080F 13 13 $0.00
4000F 15 12 $0.00
A7015 Aerosol mask used w nebulize 19 14 $0.00
90619 38 38 $0.00
G8952 Pre-htn/htn, no f/u, not gvn 13 12 $0.00
3077F 183 164 $0.00
90461 10,090 9,637 $0.00
G8482 Flu immunize order/admin 670 597 $0.00
90648 3,014 2,881 $0.00
3288F 1,018 919 $0.00
90633 1,186 1,130 $0.00
G8417 Calc bmi abv up param f/u 1,132 1,004 $0.00
90710 550 529 $0.00
97803 574 568 $0.00
G8483 Flu imm no admin doc rea 41 41 $0.00
3725F 393 354 $0.00
2014F 249 234 $0.00
90672 36 36 $0.00
G9744 Pt not eli d/t act dig htn 31 31 $0.00
1100F 13 12 $0.00
90700 67 63 $0.00
1158F 31 24 $0.00