SUSANNA THOMAS
NPI: 1437344090
· OLD SAYBROOK, CT 06475
· Family Medicine Physician
· NPI assigned 09/07/2007
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | ADAMS, JANE (OFFICE MANAGER) |
| NPI Enumeration Date | 09/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,042 |
$38K |
| 2019 |
948 |
$38K |
| 2020 |
715 |
$39K |
| 2021 |
352 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,579 |
1,261 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,400 |
1,129 |
$61K |
| 90688 |
|
42 |
35 |
$178.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
28 |
$0.00 |