Physician
Pediatric Associates of Cheshire PC
Pediatric Associates of Cheshire PC was paid $380K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF CHESHIRE PC
CHESHIRE, CT 06410
CHESHIRE, CT 06410
33aNPI1477510675assigned 05/01/2006
33bProvider typePediatrics Physician
28Total paid$380K
24GClaims7,147
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#80 of 162
Median peer was paid$313K
This provider vs. median1.2×
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 | 1,104 | $58K | |
| 2019 | 1,028 | $54K | |
| 2020 | 594 | $22K | |
| 2021 | 855 | $46K | |
| 2022 | 1,229 | $66K | |
| 2023 | 1,291 | $71K | |
| 2024incomplete | 1,046 | $62K |
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 | 89% | 5,344 | 4,743 | $339K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.1% | 1,132 | 1,099 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 37 | 37 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 48 | 48 | $2K |
| 90686 | <1% | 530 | 513 | $198.79 | |
| 99173 | <1% | 12 | 12 | $91.20 | |
| 90656 | 0% | 44 | 44 | $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 officialO'CONNOR, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| ST. Charles Hospital and Rehabilitation Center | Port Jefferson, NY | $15.46M |
| Pulmonary Associates of Lancaster, LTD | Lancaster, PA | $699K |
| Delaware Valley Residential Care LLC | Warminster, PA | $183K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.