Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MHS PRIMARY CARE, INC

NPI: 1336279058 · MIDDLETOWN, CT 06457 · Sports Medicine (Family Medicine) Physician · NPI assigned 03/06/2007

$5.38M
Total Medicaid Paid
94,523
Total Claims
82,517
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTIN, SUSAN (VP FINANCE)
NPI Enumeration Date03/06/2007

Related Entities

Other providers sharing the same authorized official: MARTIN, SUSAN

ProviderCityStateTotal Paid
MHS PRIMARY CARE INC OLD SAYBROOK CT $1.18M
PENNSYLVANIA RETINA SPECIALISTS PC CAMP HILL PA $596K
MHS PRIMARY CARE INC. MIDDLETOWN CT $376K
PEDIATRIC THERAPY WORKS, LLC BONO AR $55K
MHS PRIMARY CARE INC MIDDLETOWN CT $14K
SUSAN A. MARTIN NP LLC LAWRENCEBURG IN $2K
MHS PRIMARY CARE INC ESSEX CT $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,130 $924K
2019 15,790 $915K
2020 13,026 $697K
2021 14,289 $747K
2022 13,987 $787K
2023 12,755 $722K
2024 9,546 $589K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53,566 46,988 $3.62M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,230 25,112 $1.47M
99215 Prolong outpt/office vis 2,324 2,069 $209K
90682 492 433 $18K
99308 Subsequent nursing facility care, per day, straightforward 1,087 828 $15K
90686 1,131 1,047 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,663 1,507 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 39 38 $5K
0004A 125 119 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 28 26 $3K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 246 229 $3K
36415 Collection of venous blood by venipuncture 1,483 1,314 $3K
0124A 158 129 $2K
80305 522 492 $2K
99305 56 53 $1K
90834 Psychotherapy, 45 minutes with patient 25 15 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 31 28 $1K
91322 53 53 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 13 $525.41
0054A 29 29 $480.00
96127 26 25 $360.25
90480 53 53 $280.00
90662 155 150 $192.17
81003 539 493 $55.10
G0008 Administration of influenza virus vaccine 363 356 $7.33
1160F 621 523 $0.00
1033F 47 27 $0.00
91300 219 205 $0.00
91312 109 98 $0.00
91305 76 53 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 13 12 $0.00