Capitol Region Education Council

Capitol Region Education Council was paid $89K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 34% of everything it billed.

33Billing provider infoCAPITOL REGION EDUCATION COUNCIL
BLOOMFIELD, CT 06002

33aNPI1205960994assigned 03/15/2007

33bProvider typeLocal Education Agency (LEA)

28Total paid$89K

24GClaims1,931

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Local Education Agency (LEA) providers in Connecticut

Rank by total paid#92 of 109

Median peer was paid$679K

This provider vs. median0.1×

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	358	$13K
2019	340	$14K
2020	59	$3K
2021	163	$8K
2022	324	$12K
2023	293	$16K
2024incomplete	394	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	34%	467	201	$30K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	428	364	$20K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	22%	538	294	$20K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	5.6%	49	38	$5K
99401		3.9%	104	102	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.3%	95	82	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	2.0%	34	34	$2K
96137		1.6%	27	24	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.3%	15	15	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	43	39	$795.72
96136		<1%	28	25	$761.07
96130		<1%	15	12	$661.90

4 more codes

90853	Group psychotherapy (other than of a multiple-family group)	<1%	22	$554.20
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	18	$326.52
99411		<1%	13	$135.98
90686		0%	35	$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 officialTARTAGLIA, HEATHER (DIRECTOR OF STUDENT SERVICES)