Physician
New England Primary Care LLC
New England Primary Care LLC was paid $35K by Medicaid between Feb 2018 and Dec 2019, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoNEW ENGLAND PRIMARY CARE LLC
ENFIELD, CT 06082
ENFIELD, CT 06082
33aNPI1467979765assigned 08/28/2017
33bProvider typeFamily Medicine Physician
28Total paid$35K
24GClaims1,391
24DCodes billed10
24AFirst – last monthFeb 2018 – Dec 2019
Compared with peers
Next to other Family Medicine Physician providers in Connecticut
Rank by total paid#69 of 139
Median peer was paid$35K
This provider vs. median1.0×
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 | 482 | $5K | |
| 2019 | 909 | $30K |
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 | 60% | 574 | 459 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 147 | 108 | $8K |
| 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 | 15% | 95 | 83 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 27 | 25 | $419.98 |
| 90682 | <1% | 23 | 13 | $350.00 | |
| 94760 | <1% | 367 | 227 | $265.22 | |
| 90686 | <1% | 27 | 17 | $152.24 | |
| 81002 | 0% | 15 | 12 | $0.00 | |
| 81003 | 0% | 52 | 40 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 64 | 35 | $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.
From NPPES
Who's on the registration
Authorized officialGUTMAN, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| New England Urgent Care Enfield LLC | Enfield, CT | $2.61M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.