Physician
Claim, LLC
Claim, LLC was paid $279K by Medicaid between Oct 2020 and Mar 2024, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 62% of everything it billed.
33Billing provider infoCLAIM, LLC
FARMINGTON, CT 06032
FARMINGTON, CT 06032
33aNPI1336758325assigned 07/27/2020
33bProvider typeFamily Medicine Physician
28Total paid$279K
24GClaims27,146
24DCodes billed8
24AFirst – last monthOct 2020 – Mar 2024
Compared with peers
Next to other Family Medicine Physician providers in Connecticut
Rank by total paid#30 of 139
Median peer was paid$35K
This provider vs. median7.9×
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 | |
|---|---|---|---|
| 2020 | 276 | $0.00 | |
| 2021 | 6,116 | $56K | |
| 2022 | 12,159 | $130K | |
| 2023 | 7,597 | $71K | |
| 2024incomplete | 998 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 62% | 16,464 | 5,997 | $172K |
| 99306 | Prolong nursin fac eval 15m | 18% | 1,237 | 759 | $50K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 16% | 6,795 | 2,775 | $45K |
| 99310 | Prolong nursin fac eval 15m | 3.2% | 1,510 | 370 | $9K |
| 99307 | <1% | 931 | 381 | $2K | |
| 99305 | <1% | 81 | 45 | $44.98 | |
| 0518F | 0% | 68 | 64 | $0.00 | |
| 1100F | 0% | 60 | 56 | $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 officialBRENES, JONATHAN (AUTHORIZED REPRESENTATIVE)
| Provider | Location | Paid |
|---|---|---|
| Wound Care Specialists | Longmeadow, MA | $227K |
| Wound Care Specialists of Ma, LLC | Framingham, MA | $45K |
| Wound Care Specialists of Ri, LLC | Providence, RI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.