Behavioral
Nuvance Health Medical Practice CT, INC.
Nuvance Health Medical Practice CT, INC. was paid $20.09M by Medicaid between Jan 2018 and Dec 2024, across 193 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoNUVANCE HEALTH MEDICAL PRACTICE CT, INC.
DANBURY, CT 06810
DANBURY, CT 06810
33aNPI1407898117assigned 06/10/2006
33bProvider typeProfessional Counselor
28Total paid$20.09M
24GClaims718,046
24DCodes billed193
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Connecticut
Rank by total paid#3 of 418
Median peer was paid$79K
This provider vs. median255×
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 | 104,013 | $2.24M | |
| 2019 | 96,276 | $2.54M | |
| 2020 | 82,380 | $2.39M | |
| 2021 | 102,031 | $3.13M | |
| 2022 | 108,473 | $3.22M | |
| 2023 | 115,146 | $3.50M | |
| 2024incomplete | 109,727 | $3.08M |
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 | 39% | 195,126 | 151,051 | $7.92M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 111,224 | 84,685 | $3.77M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 6.0% | 30,727 | 27,029 | $1.20M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 54,647 | 21,188 | $1.03M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.1% | 16,014 | 7,671 | $413K |
| 99223 | Prolong inpt eval add15 m | 1.9% | 7,591 | 6,557 | $392K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.9% | 14,253 | 13,001 | $375K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.7% | 4,127 | 3,541 | $338K |
| 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 | 1.6% | 3,127 | 2,756 | $322K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.5% | 91,974 | 77,670 | $311K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.4% | 12,710 | 9,468 | $277K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 3,099 | 2,412 | $189K |
181 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,349 | $185K |
| 59025 | Fetal non-stress test | <1% | 3,202 | $185K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 5,909 | $181K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 8,915 | $179K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 3,257 | $168K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 5,483 | $164K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 2,524 | $157K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 1,807 | $150K |
| 76801 | <1% | 3,230 | $127K | |
| 00731 | <1% | 1,715 | $118K | |
| 93000 | <1% | 14,861 | $118K | |
| 00813 | <1% | 1,340 | $110K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 6,180 | $104K |
| 00811 | <1% | 1,625 | $100K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,661 | $91K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,716 | $87K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 757 | $76K |
| 99283 | Emergency room visit (moderate) | <1% | 2,332 | $68K |
| 99243 | <1% | 1,195 | $64K | |
| 76813 | <1% | 2,076 | $60K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,465 | $50K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,379 | $50K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,356 | $47K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12,213 | $44K |
| 36415 | Collection of venous blood by venipuncture | <1% | 23,074 | $43K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 340 | $38K |
| 99442 | <1% | 1,567 | $38K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 381 | $36K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,405 | $36K |
| 20553 | <1% | 1,493 | $33K | |
| 99284 | Emergency room visit (serious) | <1% | 614 | $31K |
| 95800 | <1% | 311 | $31K | |
| 99205 | Prolong outpt/office vis | <1% | 275 | $28K |
| 99254 | <1% | 300 | $27K | |
| 99245 | <1% | 253 | $25K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,246 | $24K |
| 93970 | <1% | 2,003 | $23K | |
| 99443 | <1% | 644 | $20K | |
| 99242 | <1% | 320 | $16K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,482 | $16K |
| 93971 | <1% | 1,866 | $15K | |
| 90686 | <1% | 1,448 | $14K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 304 | $14K |
| 99310 | Prolong nursin fac eval 15m | <1% | 261 | $14K |
| 00812 | <1% | 203 | $13K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 427 | $13K |
| 88307 | <1% | 220 | $13K | |
| 94010 | <1% | 1,073 | $12K | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 168 | $12K |
| 64483 | <1% | 99 | $12K | |
| 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) | <1% | 5,635 | $11K |
| 01961 | <1% | 67 | $11K | |
| 93294 | <1% | 1,332 | $11K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,930 | $10K |
| 76820 | <1% | 657 | $10K | |
| 99285 | Emergency room visit (most serious) | <1% | 102 | $9K |
| 84181 | <1% | 1,584 | $9K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 628 | $9K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 69 | $8K |
| 88342 | <1% | 419 | $8K | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 1,167 | $8K |
| 27096 | <1% | 53 | $7K | |
| 36416 | <1% | 4,778 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 49 | $6K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 68 | $5K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 42 | $5K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 218 | $5K |
| 99255 | <1% | 41 | $5K | |
| 64615 | <1% | 271 | $5K | |
| 90961 | <1% | 61 | $5K | |
| 85060 | <1% | 529 | $5K | |
| 99253 | <1% | 104 | $5K | |
| 99307 | <1% | 497 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 319 | $4K |
| 99241 | <1% | 124 | $4K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 560 | $4K |
| 93018 | <1% | 762 | $4K | |
| 99220 | <1% | 91 | $4K | |
| 95886 | <1% | 76 | $4K | |
| 93272 | <1% | 334 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | $3K |
| 93016 | <1% | 353 | $3K | |
| 95251 | <1% | 319 | $3K | |
| 62323 | <1% | 32 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 61 | $3K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 118 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 89 | $3K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 373 | $2K |
| 97813 | <1% | 174 | $2K | |
| 99217 | <1% | 190 | $2K | |
| 46600 | <1% | 68 | $2K | |
| 93298 | <1% | 120 | $2K | |
| 82962 | <1% | 1,487 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 17 | $2K |
| 95816 | <1% | 92 | $2K | |
| 81025 | <1% | 296 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 20 | $2K |
| 97814 | <1% | 163 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 538 | $2K |
| 88341 | <1% | 36 | $1K | |
| 76825 | <1% | 31 | $1K | |
| 84165 | <1% | 704 | $1K | |
| 99305 | <1% | 15 | $1K | |
| 97810 | <1% | 142 | $1K | |
| 94060 | <1% | 168 | $1K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 15 | $974.97 |
| 64484 | <1% | 12 | $916.23 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 92 | $911.08 |
| 77427 | <1% | 28 | $863.76 | |
| 81002 | <1% | 473 | $840.76 | |
| 91200 | <1% | 67 | $818.00 | |
| 97811 | <1% | 100 | $787.39 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 497 | $763.19 |
| 95250 | <1% | 14 | $707.49 | |
| 94729 | <1% | 202 | $702.90 | |
| 20552 | <1% | 45 | $691.63 | |
| 99459 | <1% | 75 | $685.90 | |
| 93227 | <1% | 59 | $674.52 | |
| 76377 | <1% | 32 | $581.76 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 36 | $556.85 |
| 99219 | <1% | 13 | $511.60 | |
| 76827 | <1% | 31 | $500.54 | |
| 99221 | <1% | 13 | $481.23 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 78 | $465.12 |
| 94664 | <1% | 81 | $441.60 | |
| 92551 | <1% | 71 | $441.32 | |
| 94726 | <1% | 79 | $437.19 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 49 | $423.65 |
| 93296 | <1% | 57 | $392.74 | |
| 88141 | <1% | 30 | $315.70 | |
| 88112 | <1% | 14 | $290.03 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $274.80 |
| 99441 | <1% | 73 | $250.50 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 15 | $247.39 |
| 90656 | <1% | 12 | $223.50 | |
| 94750 | <1% | 47 | $222.09 | |
| 20610 | <1% | 13 | $216.05 | |
| 94618 | <1% | 14 | $172.08 | |
| 99350 | Prolong home eval add 15m | <1% | 14 | $167.14 |
| 99304 | <1% | 28 | $150.60 | |
| 80500 | <1% | 31 | $137.88 | |
| 88304 | <1% | 24 | $133.39 | |
| 93880 | <1% | 22 | $108.60 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 61 | $107.44 |
| 86334 | <1% | 25 | $96.03 | |
| 99406 | <1% | 13 | $75.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $41.91 |
| 82947 | <1% | 13 | $41.76 | |
| 81003 | <1% | 578 | $39.60 | |
| 93325 | <1% | 16 | $37.12 | |
| G0008 | Administration of influenza virus vaccine | <1% | 163 | $10.00 |
| 82948 | <1% | 16 | $3.02 | |
| 0502F | 0% | 2,979 | $0.00 | |
| 97803 | 0% | 1,944 | $0.00 | |
| 86665 | 0% | 72 | $0.00 | |
| 86618 | 0% | 217 | $0.00 | |
| 82570 | 0% | 17 | $0.00 | |
| 80061 | Lipid panel | 0% | 252 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 275 | $0.00 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 302 | $0.00 |
| 86696 | 0% | 72 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 39 | $0.00 |
| 90662 | 0% | 14 | $0.00 | |
| 97802 | 0% | 483 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 460 | $0.00 |
| 85652 | 0% | 80 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 320 | $0.00 |
| 86664 | 0% | 37 | $0.00 | |
| 86140 | 0% | 29 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 30 | $0.00 |
| 86803 | 0% | 85 | $0.00 | |
| 82607 | 0% | 23 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 94 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 39 | $0.00 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 0% | 14 | $0.00 |
| 86695 | 0% | 143 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 234 | $0.00 |
| 87340 | 0% | 37 | $0.00 | |
| 86780 | 0% | 74 | $0.00 | |
| 86617 | 0% | 30 | $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 officialDION, JOHN (SVP CORE FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Private Diagnostic Clinic, PLLC | Cary, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.