Physician
Pediatrics Plus PC
Pediatrics Plus PC was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoPEDIATRICS PLUS PC
NORTH HAVEN, CT 06473
NORTH HAVEN, CT 06473
33aNPI1386837029assigned 08/27/2007
33bProvider typePediatrics Physician
28Total paid$1.09M
24GClaims21,656
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#55 of 162
Median peer was paid$313K
This provider vs. median3.5×
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 | 2,596 | $153K | |
| 2019 | 2,863 | $180K | |
| 2020 | 3,849 | $160K | |
| 2021 | 4,103 | $175K | |
| 2022 | 3,381 | $165K | |
| 2023 | 2,379 | $140K | |
| 2024incomplete | 2,485 | $121K |
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 | 58% | 8,964 | 7,774 | $634K |
| 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 | 21% | 2,356 | 1,974 | $233K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.0% | 794 | 294 | $66K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 2,086 | 1,917 | $63K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.8% | 874 | 705 | $31K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 295 | 148 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 924 | 445 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 45 | 42 | $6K |
| 96127 | <1% | 201 | 186 | $6K | |
| 96160 | <1% | 238 | 226 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 36 | 36 | $5K |
| 92551 | <1% | 712 | 644 | $4K |
15 more codes
| 99051 | <1% | 470 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 348 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 36 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 16 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 81 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $2K |
| 90686 | <1% | 1,609 | $778.88 | |
| 99173 | <1% | 66 | $463.60 | |
| 36416 | <1% | 73 | $246.37 | |
| 87807 | <1% | 13 | $148.85 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 405 | $0.00 |
| G9920 | Screening performed and negative | 0% | 14 | $0.00 |
| 99072 | 0% | 932 | $0.00 | |
| 90461 | 0% | 28 | $0.00 | |
| 85018 | 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 officialCUTTLER, JOANNE (PRACTICE ADMINISTRATOR)