Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

STATE OF CONNECTICUT

NPI: 1467582072 · SOUTHBURY, CT 06488 · Intellectual Disabilities Intermediate Care Facility · NPI assigned 03/06/2007

$17K
Total Medicaid Paid
1,593
Total Claims
1,332
Beneficiaries
5
Codes Billed
2019-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHANEWICZ, KATHRYN (DIRECTOR)
NPI Enumeration Date03/06/2007

Related Entities

Other providers sharing the same authorized official: HANEWICZ, KATHRYN

ProviderCityStateTotal Paid
STATE OF CONNECTICUT SOUTHBURY CT $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 98 $593.57
2020 273 $3K
2021 371 $4K
2022 256 $3K
2023 294 $3K
2024 301 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99307 925 805 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 423 311 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 105 90 $2K
99308 Subsequent nursing facility care, per day, straightforward 44 30 $870.35
90688 96 96 $0.00