NP / PA
Coastal Digestive Diseases
Coastal Digestive Diseases was paid $43K by Medicaid between Jan 2018 and May 2019, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 41% of everything it billed.
33Billing provider infoCOASTAL DIGESTIVE DISEASES
NEW LONDON, CT 06320
NEW LONDON, CT 06320
33aNPI1447459839assigned 07/16/2007
33bProvider typeNurse Practitioner
28Total paid$43K
24GClaims1,228
24DCodes billed5
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Nurse Practitioner providers in Connecticut
Rank by total paid#19 of 44
Median peer was paid$17K
This provider vs. median2.5×
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 | 820 | $31K | |
| 2019 | 408 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 41% | 368 | 328 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 554 | 469 | $16K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 17% | 236 | 200 | $7K |
| 99243 | 4.6% | 25 | 25 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 45 | 42 | $843.19 |
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 officialMADSEN, JOHN (OWNER)