Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CT › Stamford › NPI 1154633980
Physician

Stamford Health Medical Group, INC.

Stamford Health Medical Group, INC. was paid $23.50M by Medicaid between Jan 2018 and Dec 2024, across 278 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoSTAMFORD HEALTH MEDICAL GROUP, INC.
STAMFORD, CT 06907
33aNPI1154633980assigned 07/09/2010
33bProvider typeInternal Medicine Physician
28Total paid$23.50M
24GClaims790,339
24DCodes billed278
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Connecticut

Rank by total paid#5 of 295
Median peer was paid$35K
This provider vs. median668×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018102,417$2.66M
2019101,254$2.94M
202093,161$3.02M
2021139,823$4.03M
2022121,365$3.54M
2023129,659$3.97M
2024incomplete102,660$3.34M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 38% 156,081 129,464 $8.97M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 97,335 79,167 $3.87M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.6% 34,580 11,428 $851K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.0% 27,108 9,943 $470K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1.7% 6,538 5,035 $395K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.6% 4,986 4,347 $383K
77067 Screening mammography, bilateral, including computer-aided detection 1.5% 18,327 15,882 $358K
99231 Subsequent hospital care, per day, straightforward or low complexity 1.3% 21,776 7,341 $294K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 7,361 6,293 $262K
77063 Screening digital breast tomosynthesis, bilateral 1.1% 18,219 15,789 $257K
J0585 Injection, onabotulinumtoxina, 1 unit 1.0% 4,428 2,229 $244K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.0% 5,239 4,553 $239K
266 more codes
76641 1.0% 12,583 $238K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 10,209 $235K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 4,519 $233K
93000 <1% 30,281 $231K
99243 <1% 2,956 $226K
90792 Psychiatric diagnostic evaluation with medical services <1% 4,526 $198K
95912 <1% 2,025 $196K
0002A <1% 5,252 $185K
0001A <1% 5,547 $183K
99223 Prolong inpt eval add15 m <1% 3,514 $183K
99215 Doctor's office visit, returning patient (complex) <1% 3,609 $181K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,273 $179K
20552 <1% 8,269 $175K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 51,953 $160K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 3,517 $154K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 3,722 $149K
11043 <1% 3,265 $146K
99239 Hospital discharge day management, more than 30 minutes <1% 4,630 $145K
76818 <1% 3,351 $141K
97810 <1% 12,426 $134K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,248 $132K
64615 <1% 2,494 $123K
95886 <1% 2,099 $119K
76830 Ultrasound, transvaginal <1% 3,666 $112K
99244 Office or other outpatient consultation, moderate to high complexity <1% 901 $107K
20611 <1% 3,852 $103K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 4,589 $97K
70450 Computed tomography, head or brain; without contrast material <1% 7,220 $97K
99242 <1% 1,644 $88K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 802 $83K
76801 <1% 1,914 $76K
71045 Radiologic examination, chest; single view <1% 22,679 $75K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 696 $62K
27096 <1% 2,009 $61K
93975 <1% 1,302 $58K
11044 <1% 1,069 $55K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,642 $50K
64493 <1% 1,158 $49K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 405 $45K
93298 <1% 5,200 $45K
76813 <1% 1,598 $44K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 768 $44K
99205 Prolong outpt/office vis <1% 372 $43K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,463 $43K
76642 <1% 2,609 $40K
99464 <1% 700 $39K
71046 Radiologic examination, chest; 2 views <1% 8,156 $39K
20610 <1% 1,738 $38K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 521 $34K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 793 $34K
0003A <1% 944 $33K
77065 Tomosynthesis, mammo <1% 1,752 $32K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 230 $30K
0012A <1% 906 $30K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 202 $29K
64494 <1% 1,159 $28K
99460 <1% 577 $27K
93299 <1% 733 $26K
0011A <1% 846 $25K
99254 <1% 285 $23K
99385 <1% 186 $23K
70551 Magnetic resonance imaging, brain; without contrast material <1% 882 $22K
64495 <1% 921 $21K
64405 <1% 479 $21K
99238 Hospital discharge day management, 30 minutes or less <1% 620 $21K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 181 $21K
0004A <1% 526 $20K
93296 <1% 3,038 $19K
99462 <1% 771 $19K
76536 <1% 1,701 $19K
51701 <1% 625 $17K
93976 <1% 872 $17K
90682 <1% 633 $17K
0072A <1% 431 $17K
99222 Initial hospital care, per day, moderate complexity <1% 411 $17K
99490 Ccm add 20min <1% 1,155 $17K
96127 <1% 824 $16K
71275 Computed tomographic angiography, chest, with contrast material <1% 457 $16K
0071A <1% 437 $16K
77061 <1% 1,092 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,098 $13K
73562 <1% 3,032 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,239 $12K
92586 <1% 299 $12K
73630 <1% 2,868 $12K
99308 Subsequent nursing facility care, per day, straightforward <1% 480 $11K
93295 <1% 927 $11K
11721 <1% 2,149 $11K
0064A <1% 329 $10K
72125 Computed tomography, cervical spine; without contrast material <1% 560 $10K
52000 <1% 244 $10K
94010 <1% 1,902 $10K
29515 <1% 326 $9K
97811 <1% 916 $9K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 865 $9K
73030 <1% 2,397 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 752 $9K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 302 $9K
99386 <1% 59 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 600 $9K
76942 <1% 188 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 229 $9K
76770 <1% 695 $8K
20553 <1% 261 $8K
51798 <1% 1,517 $8K
71250 <1% 500 $8K
90686 <1% 1,632 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 62 $7K
93016 <1% 844 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 195 $7K
81025 <1% 1,314 $7K
99220 <1% 166 $7K
76819 Fetal biophysical profile; without non-stress testing <1% 303 $6K
81003 <1% 8,999 $6K
64505 <1% 170 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 200 $6K
93971 <1% 766 $6K
95816 <1% 310 $6K
77066 Tomosynthesis, mammo <1% 294 $6K
77080 <1% 1,329 $6K
95806 <1% 122 $6K
29125 <1% 287 $6K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 958 $6K
80305 <1% 1,321 $6K
0031A <1% 189 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 200 $6K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose <1% 86 $6K
94726 <1% 1,147 $5K
99442 <1% 184 $5K
99283 Emergency room visit (moderate) <1% 150 $5K
93970 <1% 472 $5K
93018 <1% 842 $5K
51797 <1% 45 $4K
99173 <1% 637 $4K
72110 <1% 697 $4K
96161 <1% 194 $4K
99177 <1% 198 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 214 $4K
73221 <1% 99 $4K
94729 <1% 1,226 $4K
99307 <1% 227 $4K
46600 <1% 94 $4K
51741 <1% 184 $4K
99480 Subsequent intensive care, per day, low birth weight infant <1% 37 $3K
73130 <1% 815 $3K
77062 <1% 253 $3K
73610 <1% 828 $3K
74018 <1% 903 $3K
20550 <1% 152 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 31 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 194 $3K
51729 <1% 45 $3K
87210 <1% 810 $3K
70496 <1% 115 $3K
93294 <1% 510 $3K
99152 <1% 465 $2K
78815 Positron emission tomography (PET) for limited area imaging <1% 82 $2K
74183 <1% 60 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 751 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 100 $2K
99219 <1% 35 $2K
11057 <1% 187 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 38 $2K
72141 <1% 40 $2K
99241 <1% 53 $2K
70498 <1% 71 $2K
82962 <1% 1,931 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 275 $1K
59025 Fetal non-stress test <1% 54 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 73 $1K
36415 Collection of venous blood by venipuncture <1% 736 $1K
95251 <1% 147 $1K
83986 <1% 499 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 171 $1K
95811 <1% 13 $1K
90935 Hemodialysis procedure with single evaluation by a physician <1% 71 $1K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 470 $1K
96160 <1% 76 $1K
90656 <1% 74 $1K
99235 <1% 14 $1K
76998 <1% 29 $1K
91320 <1% 13 $1K
51784 <1% 44 $1K
0124A <1% 35 $920.00
73110 <1% 224 $897.12
99463 <1% 12 $825.48
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 109 $765.29
87428 <1% 40 $739.72
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 216 $726.88
46221 <1% 14 $703.34
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 154 $685.66
72100 <1% 151 $676.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 541 $641.26
77092 <1% 577 $638.84
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 189 $636.60
90791 Psychiatric diagnostic evaluation <1% 15 $632.30
0073A <1% 16 $600.00
99292 <1% 16 $575.19
76825 <1% 13 $548.24
72197 <1% 13 $529.84
76376 <1% 180 $503.56
90671 <1% 13 $492.40
94618 <1% 88 $437.72
76820 <1% 24 $368.40
J1010 Injection, methylprednisolone acetate, 1 mg <1% 210 $362.45
36416 <1% 110 $360.88
73502 <1% 83 $355.47
90480 <1% 13 $320.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 19 $309.90
99153 Mod sedat endo service >5yrs <1% 45 $301.14
73140 <1% 68 $250.21
90662 <1% 32 $237.26
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 13 $212.41
76870 <1% 12 $209.66
11056 <1% 31 $199.50
76827 <1% 13 $189.86
29540 <1% 12 $186.75
72070 <1% 45 $169.00
94060 <1% 28 $138.09
72050 <1% 18 $108.96
93291 <1% 30 $106.96
73080 <1% 28 $106.71
97535 Self-care/home management training, each 15 minutes <1% 73 $71.68
73564 <1% 29 $65.00
73560 <1% 13 $56.32
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 144 $52.21
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 29 $42.28
82947 <1% 23 $30.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 29 $28.26
G8410 Footwear evaluation performed and documented <1% 1,422 $0.04
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 97 $0.02
J3490 Unclassified drugs <1% 240 $0.02
90461 0% 1,072 $0.00
91300 0% 11,822 $0.00
90661 0% 353 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 0% 382 $0.00
90670 0% 66 $0.00
77089 0% 42 $0.00
91311 0% 23 $0.00
99072 0% 72 $0.00
82948 0% 16 $0.00
1494F 0% 14 $0.00
91312 0% 16 $0.00
90653 0% 13 $0.00
99024 0% 917 $0.00
G9634 Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved 0% 737 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 0% 7,427 $0.00
4171F 0% 155 $0.00
91307 0% 900 $0.00
90674 0% 321 $0.00
90698 0% 257 $0.00
G8416 Clinician documented that patient was not an eligible candidate for footwear evaluation measure 0% 115 $0.00
90680 0% 39 $0.00
91306 0% 316 $0.00
91303 0% 184 $0.00
G0008 Administration of influenza virus vaccine 0% 104 $0.00
91301 0% 1,641 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 563 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 0% 46 $0.00
90677 0% 137 $0.00
99000 0% 12 $0.00
G9228 Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) 0% 13 $0.00
90744 0% 12 $0.00
0503F 0% 34 $0.00
97802 0% 12 $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 officialACOSTA, RODRIGO (PRESIDENT)