Medicaid Provider Spending

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

NEW ENGLAND PRIMARY CARE LLC

NPI: 1467979765 · ENFIELD, CT 06082 · Family Medicine Physician · NPI assigned 08/28/2017

$35K
Total Medicaid Paid
1,391
Total Claims
1,019
Beneficiaries
10
Codes Billed
2018-02
First Month
2019-12
Last Month

Provider Details

Authorized OfficialGUTMAN, MICHAEL (OWNER)
NPI Enumeration Date08/28/2017

Related Entities

Other providers sharing the same authorized official: GUTMAN, MICHAEL

ProviderCityStateTotal Paid
NEW ENGLAND URGENT CARE ENFIELD LLC ENFIELD CT $2.61M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 482 $5K
2019 909 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 574 459 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 147 108 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 95 83 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 27 25 $419.98
90682 23 13 $350.00
94760 367 227 $265.22
90686 27 17 $152.24
81002 15 12 $0.00
81003 52 40 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 64 35 $0.00