Physician
Personal Care Peds LLC
Personal Care Peds LLC was paid $899K by Medicaid between Jan 2018 and May 2021, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoPERSONAL CARE PEDS LLC
SOUTHINGTON, CT 06489
SOUTHINGTON, CT 06489
33aNPI1336362755assigned 04/11/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$899K
24GClaims42,604
24DCodes billed40
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Connecticut
Rank by total paid#7 of 16
Median peer was paid$839K
This provider vs. median1.1×
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 | 12,096 | $235K | |
| 2019 | 14,412 | $257K | |
| 2020 | 11,771 | $287K | |
| 2021 | 4,325 | $120K |
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 | 31% | 5,166 | 4,319 | $277K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 1,042 | 909 | $88K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.1% | 2,618 | 2,269 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 1,023 | 773 | $74K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 795 | 655 | $71K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.3% | 3,495 | 2,706 | $66K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 613 | 551 | $54K |
| 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 | 5.9% | 711 | 614 | $53K |
| 96127 | 3.1% | 1,705 | 1,516 | $28K | |
| 92552 | 2.6% | 2,135 | 1,907 | $24K | |
| 99173 | 1.5% | 2,148 | 1,914 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 902 | 719 | $12K |
28 more codes
| 96161 | 1.2% | 819 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 1,080 | $11K |
| 36416 | <1% | 2,665 | $8K | |
| 82465 | <1% | 2,301 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 601 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 333 | $4K |
| 81000 | <1% | 2,374 | $4K | |
| 99050 | <1% | 147 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 21 | $844.04 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 69 | $575.00 |
| 83655 | <1% | 73 | $531.76 | |
| D1206 | Topical application of fluoride varnish | <1% | 29 | $460.00 |
| 85018 | <1% | 3,686 | $108.48 | |
| 90686 | <1% | 755 | $38.45 | |
| 90662 | <1% | 1,351 | $0.03 | |
| 90685 | <1% | 211 | $0.01 | |
| 90651 | 0% | 288 | $0.00 | |
| 90723 | 0% | 240 | $0.00 | |
| 90620 | 0% | 19 | $0.00 | |
| 90670 | 0% | 652 | $0.00 | |
| 90633 | 0% | 207 | $0.00 | |
| 90648 | 0% | 663 | $0.00 | |
| 90461 | 0% | 1,072 | $0.00 | |
| 90621 | 0% | 145 | $0.00 | |
| 90710 | 0% | 92 | $0.00 | |
| 90734 | 0% | 274 | $0.00 | |
| 90715 | 0% | 57 | $0.00 | |
| 90681 | 0% | 27 | $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 officialBLUMER, ARTHUR (MEMBER)