Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › ROCKY HILL › STARLING PHYSICIANS, PLLC

STARLING PHYSICIANS, PLLC

NPI: 1467537290 · ROCKY HILL, CT 06067 · Allergy Physician · NPI assigned 10/27/2006

$38.11M
Total Medicaid Paid
1,352,834
Total Claims
928,571
Beneficiaries
269
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEBENGER, JEFFREY (CEO)
NPI Enumeration Date10/27/2006

Related Entities

Other providers sharing the same authorized official: LEBENGER, JEFFREY

ProviderCityStateTotal Paid
STARLING PHYSICIANS, PLLC NEW BRITAIN CT $4.36M
SUMMIT MEDICAL GROUP PA WOODLAND PARK NJ $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 182,234 $5.56M
2019 162,960 $5.56M
2020 133,043 $4.57M
2021 156,894 $5.70M
2022 156,683 $6.44M
2023 370,012 $5.37M
2024 191,008 $4.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 162,713 124,641 $7.60M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 170,550 135,076 $6.38M
99232 Subsequent hospital care, per day, moderate complexity 139,470 38,193 $2.62M
90460 Immunization administration through 18 years of age via any route, first or only component 51,237 43,846 $1.90M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,356 14,563 $1.87M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 13,026 11,635 $1.64M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15,753 13,632 $1.63M
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 23,509 18,850 $1.59M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,141 11,201 $1.34M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9,990 8,457 $1.08M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 15,124 6,842 $1.06M
95004 Percutaneous tests with allergenic extracts, immediate type reaction 8,935 6,829 $951K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 9,466 6,984 $716K
99222 Initial hospital care, per day, moderate complexity 17,627 13,835 $560K
99233 Prolong inpt eval add15 m 16,538 6,827 $383K
96127 23,394 17,431 $371K
90935 Hemodialysis procedure with single evaluation by a physician 11,845 6,096 $296K
J0178 Injection, aflibercept, 1 mg 656 371 $274K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,444 6,978 $273K
99215 Prolong outpt/office vis 5,740 4,021 $267K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,485 5,838 $256K
67028 Intravitreal injection of a pharmacologic agent 6,718 4,260 $253K
99308 Subsequent nursing facility care, per day, straightforward 11,454 9,118 $236K
99223 Prolong inpt eval add15 m 4,496 3,915 $210K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13,647 10,589 $206K
36902 1,276 992 $176K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,788 6,247 $172K
99173 25,999 22,300 $163K
99205 Prolong outpt/office vis 1,432 1,035 $158K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,977 1,908 $144K
93000 29,753 23,206 $143K
92551 25,883 22,603 $142K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,574 4,231 $137K
99174 7,987 6,672 $131K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,097 3,998 $129K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,795 2,269 $127K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 9,222 6,861 $109K
99239 Hospital discharge day management, more than 30 minutes 3,694 3,422 $107K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,465 4,922 $98K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,746 5,328 $97K
90961 1,274 1,156 $96K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,301 1,090 $90K
99307 5,523 4,560 $88K
96161 5,941 4,491 $87K
99244 Office or other outpatient consultation, moderate to high complexity 1,257 770 $83K
99305 1,924 1,497 $75K
J9035 Injection, bevacizumab, 10 mg 6,902 4,264 $73K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,704 7,071 $67K
92015 Determination of refractive state 4,463 3,238 $66K
99188 3,397 2,769 $63K
92134 7,919 5,214 $63K
95117 6,891 2,909 $59K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,064 868 $54K
99231 Subsequent hospital care, per day, straightforward or low complexity 18,086 4,302 $54K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 653 628 $49K
99306 Prolong nursin fac eval 15m 759 663 $47K
99070 3,944 3,637 $38K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 253 129 $38K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,740 1,174 $37K
81002 24,057 16,156 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,325 2,919 $32K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,451 1,140 $30K
0001A 733 696 $27K
0002A 714 690 $27K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 926 810 $27K
77067 Screening mammography, bilateral, including computer-aided detection 274 268 $25K
0071A 730 632 $25K
J1439 Injection, ferric carboxymaltose, 1 mg 43 29 $25K
80305 4,777 3,667 $24K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 213 123 $24K
92250 1,399 1,028 $23K
20610 1,212 969 $21K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 391 171 $21K
64483 241 239 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,959 1,415 $18K
90686 23,151 21,782 $17K
17110 858 700 $17K
99442 605 494 $15K
92083 1,086 812 $15K
99152 1,879 1,411 $15K
93015 578 496 $15K
82570 7,958 5,965 $15K
76830 Ultrasound, transvaginal 343 246 $14K
73630 1,629 1,000 $13K
36415 Collection of venous blood by venipuncture 6,071 4,912 $13K
77063 Screening digital breast tomosynthesis, bilateral 406 371 $13K
71046 Radiologic examination, chest; 2 views 1,391 1,191 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 191 120 $12K
94664 1,517 1,368 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 377 316 $12K
31231 978 615 $11K
99318 306 264 $11K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,669 1,315 $10K
73562 1,498 1,004 $9K
0072A 240 233 $9K
59025 Fetal non-stress test 214 110 $9K
99385 166 103 $9K
11721 2,266 1,867 $8K
92285 629 489 $8K
73560 1,218 778 $7K
94010 984 860 $7K
99245 58 53 $7K
96160 541 354 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,230 853 $7K
D0145 Oral evaluation for a patient under three years of age 293 276 $7K
11102 297 269 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,511 1,868 $6K
99381 86 51 $6K
87631 47 46 $6K
99217 241 229 $6K
99292 137 119 $5K
99401 120 116 $5K
36416 1,732 1,461 $5K
51798 1,552 1,204 $4K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 114 63 $4K
69210 1,143 679 $4K
99254 104 40 $4K
36901 35 24 $3K
11100 154 145 $3K
0011A 194 91 $3K
0051A 117 86 $3K
0081A 83 75 $3K
0012A 145 81 $3K
99238 Hospital discharge day management, 30 minutes or less 113 110 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,976 1,629 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 69 52 $3K
99497 159 122 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 865 593 $3K
20611 111 103 $3K
94729 271 231 $2K
81003 7,297 5,243 $2K
62323 47 40 $2K
73130 245 169 $2K
99443 68 42 $2K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 165 158 $2K
83861 437 222 $2K
96367 190 97 $2K
73030 260 203 $2K
76801 40 25 $2K
72110 112 101 $2K
95251 309 239 $2K
87070 347 260 $2K
81025 397 305 $2K
96375 Therapeutic injection; each additional sequential IV push 196 116 $2K
97150 Therapeutic procedure(s), group (2 or more individuals) 2,061 553 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 30 26 $2K
94060 147 139 $2K
92235 39 37 $1K
90937 19 13 $1K
64493 26 24 $1K
93296 262 238 $1K
J2785 Injection, regadenoson, 0.1 mg 21 13 $1K
92557 566 384 $1K
99243 15 15 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 447 147 $1K
99051 168 144 $1K
99225 46 38 $1K
93922 32 31 $1K
99490 Ccm add 20min 113 110 $1K
20552 97 66 $997.07
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 232 179 $952.21
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 459 153 $936.77
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 381 145 $934.43
99441 186 168 $839.65
94760 1,421 884 $810.72
90480 21 20 $800.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,190 822 $780.00
0031A 38 19 $760.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 23 15 $742.96
31575 118 74 $706.87
0003A 17 17 $680.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $673.60
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 14 13 $668.21
81001 589 508 $659.53
99397 165 40 $629.91
94726 65 64 $608.36
0013A 16 15 $600.00
76770 16 16 $547.05
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 13 12 $515.43
82274 37 37 $498.96
92587 20 16 $480.88
95886 13 12 $447.48
52000 29 25 $405.00
93294 88 80 $390.04
94727 73 51 $345.15
D1206 Topical application of fluoride varnish 14 14 $280.00
92133 110 30 $277.13
92567 474 325 $249.88
90671 2,814 1,418 $246.90
72100 30 28 $246.40
85018 2,451 1,827 $240.44
90651 2,195 1,909 $238.00
92002 18 15 $237.86
96361 Intravenous infusion, hydration; each additional hour 65 29 $233.01
73610 14 12 $215.05
73564 20 14 $183.40
83036 Hemoglobin; glycosylated (A1C) 42 37 $182.40
92020 26 24 $178.13
90656 1,756 1,543 $134.10
87210 37 37 $133.87
90734 1,332 1,201 $121.56
73620 15 12 $121.53
90662 119 119 $86.95
82270 33 30 $83.97
83037 13 12 $83.75
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 13 12 $78.50
95012 13 12 $78.47
90461 21,747 17,786 $70.00
95115 26 12 $66.84
94618 12 12 $64.53
90791 Psychiatric diagnostic evaluation 26 12 $64.11
J1100 Injection, dexamethasone sodium phosphate, 1 mg 232 121 $60.02
97161 13 13 $50.49
83986 13 12 $33.88
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing 12 12 $33.57
J3490 Unclassified drugs 60 50 $30.37
17000 12 12 $22.05
J1010 Injection, methylprednisolone acetate, 1 mg 151 114 $18.08
99072 1,462 1,359 $15.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 96 49 $2.84
J7050 Infusion, normal saline solution, 250 cc 101 60 $2.53
G8510 Screening for depression is documented as negative, a follow-up plan is not required 30 29 $0.29
90670 6,053 5,870 $0.02
90648 4,571 4,266 $0.00
1160F 42,975 23,601 $0.00
90633 1,436 1,282 $0.00
1159F 43,252 23,699 $0.00
3078F 1,821 909 $0.00
90685 972 926 $0.00
91300 1,546 1,342 $0.00
88312 60 58 $0.00
90621 226 220 $0.00
0502F 1,155 426 $0.00
90715 181 174 $0.00
3077F 526 255 $0.00
90710 25 25 $0.00
91308 83 75 $0.00
90700 25 25 $0.00
90707 12 12 $0.00
91322 16 15 $0.00
90680 4,191 3,522 $0.00
3008F 29,478 15,255 $0.00
90723 2,600 2,413 $0.00
3075F 829 325 $0.00
90697 1,956 1,308 $0.00
1126F 9,091 4,783 $0.00
3079F 934 512 $0.00
1170F 5,953 2,896 $0.00
91305 123 89 $0.00
1125F 3,728 1,665 $0.00
3044F 1,295 212 $0.00
99000 1,694 1,450 $0.00
91301 372 203 $0.00
3074F 937 481 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 626 609 $0.00
91307 1,026 893 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 408 225 $0.00
G0008 Administration of influenza virus vaccine 146 146 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 130 77 $0.00
90647 27 24 $0.00
90716 24 24 $0.00
88304 26 25 $0.00
1157F 15 14 $0.00
94761 23 14 $0.00
90620 14 12 $0.00
90381 13 13 $0.00
90677 13 12 $0.00
91303 34 19 $0.00
90696 13 13 $0.00