MANSFIELD FAMILY PRACTICE LLC
NPI: 1265546956
· STORRS, CT 06268
· Family Medicine Physician
· NPI assigned 08/18/2006
$364K
Total Medicaid Paid
Provider Details
| Authorized Official | WYSE, KELLY (MEDICAL RECORDS) |
| NPI Enumeration Date | 08/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,884 |
$75K |
| 2019 |
1,505 |
$73K |
| 2020 |
1,024 |
$45K |
| 2021 |
1,045 |
$50K |
| 2022 |
1,106 |
$50K |
| 2023 |
785 |
$43K |
| 2024 |
585 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,398 |
3,727 |
$220K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,875 |
1,613 |
$130K |
| 90686 |
|
452 |
426 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
483 |
453 |
$4K |
| 82075 |
|
354 |
310 |
$3K |
| 80305 |
|
372 |
329 |
$2K |