Physician
Pediatric & Adolescent Healthcare, PC
Pediatric & Adolescent Healthcare, PC was paid $7.26M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPEDIATRIC & ADOLESCENT HEALTHCARE, PC
ANSONIA, CT 06401
ANSONIA, CT 06401
33aNPI1417083809assigned 02/27/2007
33bProvider typePediatrics Physician
28Total paid$7.26M
24GClaims195,318
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#12 of 162
Median peer was paid$313K
This provider vs. median23×
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 | 28,502 | $1.18M | |
| 2019 | 25,626 | $1.08M | |
| 2020 | 25,376 | $913K | |
| 2021 | 32,647 | $1.02M | |
| 2022 | 36,082 | $1.10M | |
| 2023 | 25,145 | $957K | |
| 2024incomplete | 21,940 | $1.02M |
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 | 40% | 39,760 | 34,432 | $2.89M |
| 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 | 11% | 7,370 | 6,807 | $764K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 6,887 | 5,869 | $679K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 5,162 | 5,053 | $578K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 14,083 | 13,058 | $500K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 4,160 | 3,982 | $498K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 4,488 | 4,266 | $468K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 10,269 | 9,902 | $187K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 4,159 | 3,875 | $186K |
| 99173 | 1.2% | 12,088 | 11,693 | $86K | |
| 99070 | 1.1% | 27,043 | 23,837 | $83K | |
| 92551 | 1.0% | 11,989 | 11,611 | $73K |
37 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,937 | $49K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,219 | $45K |
| 96127 | <1% | 1,979 | $36K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 502 | $20K |
| 99051 | <1% | 2,911 | $20K | |
| 94760 | <1% | 11,801 | $19K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,676 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 3,670 | $17K |
| 99188 | <1% | 768 | $16K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 390 | $7K |
| 94010 | <1% | 317 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 49 | $5K |
| 94016 | <1% | 331 | $5K | |
| 87428 | <1% | 81 | $4K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 129 | $2K |
| 87807 | <1% | 88 | $908.51 | |
| 99050 | <1% | 30 | $389.10 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 24 | $68.07 |
| 90670 | <1% | 2,720 | $0.01 | |
| 90686 | 0% | 5,618 | $0.00 | |
| 99000 | 0% | 1,831 | $0.00 | |
| 90723 | 0% | 571 | $0.00 | |
| 90651 | 0% | 709 | $0.00 | |
| 90697 | 0% | 77 | $0.00 | |
| 90696 | 0% | 93 | $0.00 | |
| 90698 | 0% | 41 | $0.00 | |
| 90710 | 0% | 990 | $0.00 | |
| 90648 | 0% | 1,639 | $0.00 | |
| 90633 | 0% | 1,170 | $0.00 | |
| 90681 | 0% | 469 | $0.00 | |
| 90685 | 0% | 173 | $0.00 | |
| 81002 | 0% | 13 | $0.00 | |
| 90734 | 0% | 646 | $0.00 | |
| 90700 | 0% | 24 | $0.00 | |
| 90715 | 0% | 143 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14 | $0.00 |
| 90671 | 0% | 17 | $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 officialCURTISS, DOUGLAS (PRESIDENT)