Optimal Health Management, LLC

Optimal Health Management, LLC was paid $8K by Medicaid between Jan 2018 and May 2018, across 2 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 89% of everything it billed.

33Billing provider infoOPTIMAL HEALTH MANAGEMENT, LLC
EAST LYME, CT 06333

33aNPI1447706734assigned 08/28/2016

33bProvider typeRheumatology Physician

28Total paid$8K

24GClaims185

24DCodes billed2

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Rheumatology Physician providers in Connecticut

Rank by total paid#10 of 16

Median peer was paid$26K

This provider vs. median0.3×

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	185	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	89%	155	124	$7K
99308	Subsequent nursing facility care, per day, straightforward	11%	30	24	$853.64

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 officialVARMA, SANDEEP (ONWER/MEMBER)