Milford Pediatric Group, PC
Milford Pediatric Group, PC was paid $10.33M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoMILFORD PEDIATRIC GROUP, PC
MILFORD, CT 06460
MILFORD, CT 06460
33aNPI1407975675assigned 03/28/2007
33bProvider typeSpecialist
28Total paid$10.33M
24GClaims318,605
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Connecticut
Rank by total paid#2 of 55
Median peer was paid$59K
This provider vs. median175×
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 | 54,711 | $1.60M | |
| 2019 | 46,876 | $1.55M | |
| 2020 | 41,789 | $1.22M | |
| 2021 | 43,273 | $1.48M | |
| 2022 | 49,601 | $1.67M | |
| 2023 | 43,545 | $1.50M | |
| 2024incomplete | 38,810 | $1.32M |
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 | 41% | 57,040 | 51,135 | $4.20M |
| 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 | 9.3% | 8,492 | 7,713 | $961K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 5,806 | 5,521 | $688K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.1% | 5,032 | 4,796 | $625K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 5,139 | 4,777 | $602K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 4,669 | 4,471 | $578K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.2% | 44,322 | 26,715 | $538K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.1% | 15,459 | 14,690 | $318K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.9% | 6,447 | 6,082 | $301K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.1% | 3,732 | 1,489 | $214K |
| 96127 | 1.8% | 9,298 | 8,870 | $184K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 5,367 | 5,161 | $179K |
51 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 22,866 | $151K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 12,834 | $132K |
| 92551 | <1% | 16,727 | $96K | |
| 99174 | <1% | 4,946 | $93K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 7,531 | $78K |
| 82465 | <1% | 17,214 | $63K | |
| 87400 | <1% | 5,951 | $59K | |
| 81000 | <1% | 17,966 | $48K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,050 | $44K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 346 | $43K |
| 99188 | <1% | 1,171 | $28K | |
| 87070 | <1% | 3,667 | $22K | |
| 92567 | <1% | 700 | $9K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 404 | $9K |
| 90686 | <1% | 10,913 | $8K | |
| 90620 | <1% | 298 | $8K | |
| D1206 | Topical application of fluoride varnish | <1% | 392 | $7K |
| 94760 | <1% | 4,124 | $6K | |
| 90651 | <1% | 572 | $6K | |
| 83655 | <1% | 409 | $4K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 51 | $4K |
| 87420 | <1% | 390 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,074 | $4K |
| 96132 | <1% | 33 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 113 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $2K |
| 90734 | <1% | 510 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 24 | $2K |
| 0071A | <1% | 78 | $2K | |
| 96118 | <1% | 13 | $1K | |
| 36416 | <1% | 383 | $1K | |
| 99051 | <1% | 165 | $1K | |
| 0072A | <1% | 53 | $987.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 103 | $777.00 |
| 90715 | <1% | 116 | $572.82 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 45 | $338.47 |
| 95012 | <1% | 14 | $174.30 | |
| 90670 | <1% | 2,308 | $135.23 | |
| 90633 | <1% | 1,008 | $68.83 | |
| 90744 | <1% | 331 | $56.91 | |
| 90685 | <1% | 321 | $0.01 | |
| 90698 | <1% | 1,825 | $0.01 | |
| 90461 | 0% | 5,204 | $0.00 | |
| 87999 | 0% | 2,550 | $0.00 | |
| 90671 | 0% | 326 | $0.00 | |
| 90672 | 0% | 23 | $0.00 | |
| 90681 | 0% | 117 | $0.00 | |
| 90710 | 0% | 153 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 24 | $0.00 |
| 90619 | 0% | 169 | $0.00 | |
| 91307 | 0% | 184 | $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 officialGRUSKAY, JEFFREY (PRES.)