NP / PA
Kids Station Pediatrics
Kids Station Pediatrics was paid $603K by Medicaid between Jan 2018 and May 2019, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoKIDS STATION PEDIATRICS
MANCHESTER, CT 06042
MANCHESTER, CT 06042
33aNPI1417153677assigned 06/25/2007
33bProvider typePediatric Nurse Practitioner
28Total paid$603K
24GClaims13,857
24DCodes billed26
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Connecticut
Rank by total paid#10 of 31
Median peer was paid$8K
This provider vs. median79×
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 | 10,514 | $448K | |
| 2019 | 3,343 | $155K |
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 | 35% | 2,992 | 2,653 | $213K |
| 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 | 17% | 974 | 926 | $102K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 1,713 | 1,671 | $66K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 565 | 552 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.6% | 546 | 539 | $58K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 407 | 394 | $45K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 383 | 383 | $39K |
| 99173 | 1.2% | 990 | 960 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 527 | 487 | $5K |
| 92551 | <1% | 707 | 692 | $4K | |
| 36416 | <1% | 774 | 762 | $3K | |
| 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% | 12 | 12 | $1K |
14 more codes
| 99050 | <1% | 65 | $791.17 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 49 | $492.35 |
| 85018 | <1% | 772 | $31.64 | |
| 90685 | <1% | 183 | $0.03 | |
| 90696 | <1% | 27 | $0.01 | |
| 90723 | 0% | 305 | $0.00 | |
| 90686 | 0% | 555 | $0.00 | |
| 90647 | 0% | 338 | $0.00 | |
| 90680 | 0% | 42 | $0.00 | |
| 90734 | 0% | 105 | $0.00 | |
| 90670 | 0% | 403 | $0.00 | |
| 90710 | 0% | 97 | $0.00 | |
| 90633 | 0% | 154 | $0.00 | |
| 90649 | 0% | 172 | $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 officialMORDAVSKY, DONALD (CEO)