Physician
Ralph J. Laguardia, M.D, P.C.
Ralph J. Laguardia, M.D, P.C. was paid $440K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoRALPH J. LAGUARDIA, M.D, P.C.
MANSFIELD CENTER, CT 06250
MANSFIELD CENTER, CT 06250
33aNPI1447580014assigned 01/05/2010
33bProvider typeInternal Medicine Physician
28Total paid$440K
24GClaims25,019
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Connecticut
Rank by total paid#44 of 295
Median peer was paid$35K
This provider vs. median13×
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 | 3,186 | $78K | |
| 2019 | 3,756 | $81K | |
| 2020 | 3,764 | $68K | |
| 2021 | 3,985 | $60K | |
| 2022 | 3,466 | $54K | |
| 2023 | 2,942 | $50K | |
| 2024incomplete | 3,920 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 77% | 7,385 | 5,988 | $337K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 4.4% | 301 | 35 | $19K |
| 95951 | 3.3% | 53 | 30 | $15K | |
| 95117 | 3.1% | 1,927 | 804 | $14K | |
| 93000 | 1.8% | 1,290 | 1,121 | $8K | |
| 94010 | 1.7% | 923 | 833 | $7K | |
| 36415 | Collection of venous blood by venipuncture | 1.6% | 6,213 | 5,264 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 381 | 312 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.4% | 286 | 260 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 372 | 338 | $5K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 1.1% | 999 | 903 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 228 | 206 | $4K |
9 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 256 | $3K |
| 99310 | Prolong nursin fac eval 15m | <1% | 17 | $885.14 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 96 | $365.87 |
| 99307 | <1% | 30 | $346.98 | |
| 82947 | <1% | 293 | $323.99 | |
| 81003 | <1% | 3,863 | $318.17 | |
| 20610 | <1% | 14 | $302.47 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 75 | $244.80 |
| 80305 | <1% | 17 | $60.40 |
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 officialLAGUARDIA, RALPH (PRESIDENT)