Physician
Peterson, Mark
Peterson, Mark was paid $129K by Medicaid between Jan 2018 and Sep 2019, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoPETERSON, MARK
SOUTHINGTON, CT 06489
SOUTHINGTON, CT 06489
33aNPI1467519793assigned 01/03/2007
33bProvider typePediatrics Physician
28Total paid$129K
24GClaims2,918
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#101 of 162
Median peer was paid$313K
This provider vs. median0.4×
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 | 1,914 | $76K | |
| 2019 | 1,004 | $53K |
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 | 69% | 1,400 | 1,140 | $89K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 146 | 138 | $14K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.1% | 642 | 543 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.5% | 82 | 79 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 57 | 55 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 115 | 99 | $1K |
| 81000 | <1% | 201 | 181 | $513.40 | |
| 90686 | <1% | 226 | 183 | $19.05 | |
| 90734 | 0% | 15 | 13 | $0.00 | |
| 90715 | 0% | 14 | 12 | $0.00 | |
| 90651 | 0% | 20 | 20 | $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.