NP / PA
East Granby Family Practice LLC
East Granby Family Practice LLC was paid $137K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoEAST GRANBY FAMILY PRACTICE LLC
EAST GRANBY, CT 06026
EAST GRANBY, CT 06026
33aNPI1154308229assigned 12/29/2005
33bProvider typeFamily Nurse Practitioner
28Total paid$137K
24GClaims7,253
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Connecticut
Rank by total paid#39 of 108
Median peer was paid$32K
This provider vs. median4.2×
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 | 267 | $16K | |
| 2019 | 694 | $27K | |
| 2020 | 1,326 | $18K | |
| 2021 | 1,242 | $24K | |
| 2022 | 1,582 | $24K | |
| 2023 | 861 | $18K | |
| 2024incomplete | 1,281 | $10K |
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 | 58% | 1,300 | 1,157 | $79K |
| 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 | 35% | 586 | 526 | $48K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 342 | 315 | $4K |
| 90686 | 1.1% | 180 | 168 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 52 | 48 | $1K |
| 99408 | <1% | 28 | 26 | $657.72 | |
| 81000 | <1% | 172 | 169 | $471.12 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 118 | 112 | $348.80 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | 39 | $343.50 |
| 99497 | <1% | 12 | 12 | $199.32 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 20 | 17 | $181.44 |
| 90656 | <1% | 13 | 13 | $44.70 |
16 more codes
| 1160F | 0% | 1,277 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 228 | $0.00 |
| 1159F | 0% | 1,278 | $0.00 | |
| 3725F | 0% | 59 | $0.00 | |
| 3078F | 0% | 79 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 178 | $0.00 |
| 3016F | 0% | 42 | $0.00 | |
| 1003F | 0% | 15 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 59 | $0.00 |
| 3210F | 0% | 18 | $0.00 | |
| 3074F | 0% | 206 | $0.00 | |
| 3008F | 0% | 502 | $0.00 | |
| 1036F | 0% | 408 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| 1126F | 0% | 13 | $0.00 | |
| 1170F | 0% | 13 | $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 officialDIETRICH, STEVEN (PARTNER MD)