Physician
Bridgeport Monroe Pediatric GRP., PC
Bridgeport Monroe Pediatric GRP., PC was paid $4.37M by Medicaid between Jan 2018 and Dec 2023, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoBRIDGEPORT MONROE PEDIATRIC GRP., PC
BRIDGEPORT, CT 06604
BRIDGEPORT, CT 06604
33aNPI1427135698assigned 11/01/2006
33bProvider typePediatrics Physician
28Total paid$4.37M
24GClaims115,621
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#17 of 162
Median peer was paid$313K
This provider vs. median14×
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 | 21,940 | $862K | |
| 2019 | 21,651 | $829K | |
| 2020 | 17,289 | $602K | |
| 2021 | 17,710 | $684K | |
| 2022 | 18,688 | $721K | |
| 2023 | 18,343 | $671K |
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 | 46% | 28,303 | 24,763 | $2.03M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 12,470 | 12,263 | $483K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.4% | 3,834 | 3,804 | $411K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.3% | 3,473 | 3,435 | $406K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 2,432 | 2,411 | $263K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 1,829 | 1,791 | $183K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 2,784 | 2,641 | $122K |
| 96127 | 1.9% | 4,671 | 4,581 | $82K | |
| 99173 | 1.5% | 9,028 | 8,897 | $67K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 5,523 | 2,605 | $62K |
| 92551 | 1.3% | 9,214 | 9,084 | $58K | |
| 36416 | <1% | 11,923 | 11,757 | $40K |
30 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,435 | $38K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 772 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,457 | $26K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 992 | $17K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 143 | $17K |
| 90651 | <1% | 861 | $11K | |
| 99174 | <1% | 333 | $7K | |
| 90620 | <1% | 151 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 45 | $5K |
| 90686 | <1% | 6,678 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 15 | $2K |
| 90734 | <1% | 639 | $486.36 | |
| 90715 | <1% | 195 | $305.12 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | $289.08 |
| 90619 | <1% | 195 | $150.00 | |
| 90716 | <1% | 222 | $120.00 | |
| 90707 | <1% | 222 | $42.53 | |
| 81002 | <1% | 57 | $2.44 | |
| 90671 | <1% | 70 | $0.06 | |
| 90670 | <1% | 1,430 | $0.01 | |
| 90744 | 0% | 191 | $0.00 | |
| 90698 | 0% | 665 | $0.00 | |
| 90697 | 0% | 201 | $0.00 | |
| 90680 | 0% | 483 | $0.00 | |
| 85018 | 0% | 91 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 90633 | 0% | 299 | $0.00 | |
| 99080 | 0% | 130 | $0.00 | |
| 90685 | 0% | 97 | $0.00 | |
| 90648 | 0% | 27 | $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 officialMALAVE, PEDRO (PRESIDENT)