Physician
Modern Era Pediatric Practice
Modern Era Pediatric Practice was paid $2.05M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoMODERN ERA PEDIATRIC PRACTICE
BRIDGEPORT, CT 06606
BRIDGEPORT, CT 06606
33aNPI1194817460assigned 09/28/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.05M
24GClaims43,432
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Connecticut
Rank by total paid#5 of 16
Median peer was paid$839K
This provider vs. median2.4×
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 | 6,427 | $290K | |
| 2019 | 6,150 | $292K | |
| 2020 | 5,833 | $255K | |
| 2021 | 5,470 | $280K | |
| 2022 | 6,951 | $334K | |
| 2023 | 7,074 | $335K | |
| 2024incomplete | 5,527 | $268K |
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 | 36% | 10,850 | 8,900 | $735K |
| 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 | 16% | 3,421 | 3,023 | $333K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 2,010 | 1,789 | $206K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 6,524 | 5,205 | $203K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 1,982 | 1,812 | $192K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 1,592 | 1,398 | $149K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 1,132 | 964 | $99K |
| 96127 | 3.4% | 5,029 | 4,223 | $69K | |
| 99174 | 1.0% | 1,285 | 1,099 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 450 | 410 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,082 | 864 | $16K |
| 99382 | <1% | 71 | 62 | $7K |
24 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 703 | $3K |
| 99383 | <1% | 27 | $3K | |
| 90650 | <1% | 1,483 | $432.72 | |
| 90734 | <1% | 148 | $261.24 | |
| 90733 | <1% | 389 | $244.84 | |
| 90686 | <1% | 1,381 | $135.72 | |
| 86403 | <1% | 411 | $9.78 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 49 | $2.76 |
| 90633 | 0% | 617 | $0.00 | |
| 90671 | 0% | 329 | $0.00 | |
| 90670 | 0% | 811 | $0.00 | |
| 90710 | 0% | 198 | $0.00 | |
| 90648 | 0% | 467 | $0.00 | |
| 90461 | 0% | 80 | $0.00 | |
| 90715 | 0% | 156 | $0.00 | |
| 90473 | 0% | 61 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90681 | 0% | 13 | $0.00 | |
| 90697 | 0% | 274 | $0.00 | |
| 90656 | 0% | 114 | $0.00 | |
| 90696 | 0% | 72 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90723 | 0% | 40 | $0.00 | |
| 90680 | 0% | 157 | $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 officialANYOHA, ANSELM (MEDICAL DIRECTOR)