Physician
MHS Primary Care, INC
MHS Primary Care, INC was paid $5.38M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoMHS PRIMARY CARE, INC
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
33aNPI1336279058assigned 03/06/2007
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$5.38M
24GClaims94,523
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
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 | 15,130 | $924K | |
| 2019 | 15,790 | $915K | |
| 2020 | 13,026 | $697K | |
| 2021 | 14,289 | $747K | |
| 2022 | 13,987 | $787K | |
| 2023 | 12,755 | $722K | |
| 2024incomplete | 9,546 | $589K |
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 | 67% | 53,566 | 46,988 | $3.62M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 29,230 | 25,112 | $1.47M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 2,324 | 2,069 | $209K |
| 90682 | <1% | 492 | 433 | $18K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,087 | 828 | $15K |
| 90686 | <1% | 1,131 | 1,047 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,663 | 1,507 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | 38 | $5K |
| 0004A | <1% | 125 | 119 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 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 | <1% | 246 | 229 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,483 | 1,314 | $3K |
19 more codes
| 0124A | <1% | 158 | $2K | |
| 80305 | <1% | 522 | $2K | |
| 99305 | <1% | 56 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 25 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 31 | $1K |
| 91322 | <1% | 53 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $525.41 |
| 0054A | <1% | 29 | $480.00 | |
| 96127 | <1% | 26 | $360.25 | |
| 90480 | <1% | 53 | $280.00 | |
| 90662 | <1% | 155 | $192.17 | |
| 81003 | <1% | 539 | $55.10 | |
| G0008 | Administration of influenza virus vaccine | <1% | 363 | $7.33 |
| 1160F | 0% | 621 | $0.00 | |
| 1033F | 0% | 47 | $0.00 | |
| 91300 | 0% | 219 | $0.00 | |
| 91312 | 0% | 109 | $0.00 | |
| 91305 | 0% | 76 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 13 | $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 officialMARTIN, SUSAN (VP FINANCE)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.