NP / PA
New England Urgent Care Enfield LLC
New England Urgent Care Enfield LLC was paid $2.61M by Medicaid between Jan 2018 and Jan 2020, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoNEW ENGLAND URGENT CARE ENFIELD LLC
ENFIELD, CT 06082
ENFIELD, CT 06082
33aNPI1184995144assigned 01/23/2012
33bProvider typeNurse Practitioner
28Total paid$2.61M
24GClaims52,722
24DCodes billed19
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Nurse Practitioner providers in Connecticut
Rank by total paid#4 of 44
Median peer was paid$17K
This provider vs. median152×
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 | 28,197 | $1.31M | |
| 2019 | 22,461 | $1.17M | |
| 2020 | 2,064 | $130K |
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 | 60% | 27,338 | 25,397 | $1.56M |
| 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 | 33% | 9,888 | 9,234 | $855K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.3% | 1,204 | 1,137 | $87K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 4,090 | 3,983 | $40K |
| 99051 | <1% | 4,284 | 4,099 | $25K | |
| 99205 | Prolong outpt/office vis | <1% | 118 | 107 | $11K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 715 | 651 | $10K |
| 81025 | <1% | 1,723 | 1,663 | $9K | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 619 | 594 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 708 | 383 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 183 | 181 | $527.32 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 67 | 61 | $407.50 |
7 more codes
| 90688 | <1% | 18 | $214.08 | |
| 93000 | <1% | 13 | $136.45 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 62 | $78.89 |
| 81003 | <1% | 1,179 | $7.05 | |
| 81002 | <1% | 451 | $6.60 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 50 | $3.77 |
| 90658 | 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 officialGUTMAN, MICHAEL (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| New England Primary Care LLC | Enfield, CT | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.