Behavioral
MHS Primary Care INC
MHS Primary Care INC was paid $14K by Medicaid between Jul 2018 and Aug 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoMHS PRIMARY CARE INC
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
33aNPI1366968182assigned 08/15/2017
33bProvider typeSocial Worker
28Total paid$14K
24GClaims1,041
24DCodes billed6
24AFirst – last monthJul 2018 – Aug 2024
Compared with peers
Next to other Social Worker providers in Connecticut
Rank by total paid#48 of 66
Median peer was paid$45K
This provider vs. median0.3×
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 | $0.00 | |
| 2020 | 18 | $619.98 | |
| 2021 | 171 | $3K | |
| 2022 | 290 | $4K | |
| 2023 | 370 | $4K | |
| 2024incomplete | 180 | $3K |
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 | 81% | 562 | 458 | $11K |
| 99221 | 7.5% | 163 | 159 | $1K | |
| 99497 | 6.4% | 247 | 214 | $904.51 | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 26 | 26 | $264.12 |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 17 | 17 | $235.04 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 26 | 12 | $157.00 |
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 (VICE PRESIDENT FINANCE)
Parent organizationMHS PRIMARY CARE INC
| Provider | Location | Paid |
|---|---|---|
| MHS Primary Care, INC | Middletown, CT | $5.38M |
| 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 |
| 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.