Physician
Pediatric Care Associates of Connecticut
Pediatric Care Associates of Connecticut was paid $270K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoPEDIATRIC CARE ASSOCIATES OF CONNECTICUT
SHELTON, CT 06484
SHELTON, CT 06484
33aNPI1396867958assigned 04/04/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$270K
24GClaims8,982
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Connecticut
Rank by total paid#12 of 16
Median peer was paid$839K
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 | 1,533 | $45K | |
| 2019 | 1,600 | $36K | |
| 2020 | 1,252 | $25K | |
| 2021 | 2,017 | $46K | |
| 2022 | 1,405 | $62K | |
| 2023 | 749 | $33K | |
| 2024incomplete | 426 | $23K |
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 | 76% | 4,262 | 3,230 | $205K |
| 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 | 8.1% | 253 | 228 | $22K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.0% | 804 | 587 | $19K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.8% | 333 | 227 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 198 | 171 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 416 | 180 | $3K |
| 99051 | <1% | 472 | 384 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 72 | 61 | $1K |
| 92551 | <1% | 323 | 258 | $1K | |
| 86328 | <1% | 15 | 14 | $569.94 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 67 | 50 | $507.42 |
| 90686 | <1% | 866 | 689 | $209.34 |
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 officialLECLERC, MARIE (OFFICE MANAGER)