Physician
Appleseed Pediatric and Adolescent Medicine
Appleseed Pediatric and Adolescent Medicine was paid $530K by Medicaid between Nov 2021 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoAPPLESEED PEDIATRIC AND ADOLESCENT MEDICINE
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
33aNPI1407422934assigned 06/03/2021
33bProvider typePediatrics Physician
28Total paid$530K
24GClaims12,149
24DCodes billed29
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#72 of 162
Median peer was paid$313K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2021 | 247 | $17K | |
| 2022 | 1,710 | $87K | |
| 2023 | 4,687 | $181K | |
| 2024incomplete | 5,505 | $245K |
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% | 2,524 | 2,015 | $163K |
| 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 | 22% | 1,227 | 978 | $119K |
| 96160 | 13% | 2,951 | 1,729 | $69K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 8.4% | 438 | 364 | $45K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 1,203 | 1,027 | $42K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.0% | 1,066 | 924 | $21K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 142 | 129 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 121 | 107 | $13K |
| 99401 | 2.5% | 376 | 317 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 51 | 51 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 148 | 125 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 63 | 52 | $5K |
17 more codes
| 92587 | <1% | 155 | $4K | |
| 96161 | <1% | 71 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43 | $982.82 |
| 96127 | <1% | 43 | $973.40 | |
| 36416 | <1% | 213 | $562.42 | |
| 99051 | <1% | 59 | $398.31 | |
| 94760 | <1% | 126 | $167.84 | |
| 96380 | <1% | 14 | $135.41 | |
| 99173 | <1% | 15 | $114.00 | |
| 92551 | <1% | 14 | $70.08 | |
| 90686 | <1% | 575 | $22.36 | |
| 85018 | <1% | 64 | $4.06 | |
| 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% | 125 | $0.00 |
| 90461 | 0% | 284 | $0.00 | |
| 90380 | 0% | 14 | $0.00 | |
| 90671 | 0% | 12 | $0.00 | |
| 90677 | 0% | 12 | $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 officialKYCIA, NICHOLE (OWNER)