Medicaid Provider Spending

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

HOSPITAL FOR SPECIAL CARE

NPI: 1477534089 · NEW BRITAIN, CT 06053 · Developmental - Behavioral Pediatrics Physician · NPI assigned 11/10/2005

$12.38M
Total Medicaid Paid
278,750
Total Claims
103,188
Beneficiaries
79
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRUDMAN, LAURIE (SENIOR VICE PRESIDENT, CFO)
NPI Enumeration Date11/10/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,311 $1.62M
2019 37,515 $1.76M
2020 23,422 $1.15M
2021 44,939 $1.77M
2022 50,656 $1.96M
2023 49,536 $2.17M
2024 39,371 $1.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96132 4,433 2,696 $2.26M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 32,353 7,973 $2.03M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 43,403 11,854 $1.67M
97530 Therapeutic activities, direct patient contact, each 15 minutes 43,257 12,307 $1.53M
97113 13,379 3,932 $559K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,917 6,536 $505K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 2,703 193 $504K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 13,957 3,931 $378K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 12,022 8,148 $370K
96118 420 316 $292K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,353 2,285 $278K
90791 Psychiatric diagnostic evaluation 2,992 2,298 $277K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 20,678 5,720 $195K
97162 4,813 3,635 $174K
97535 Self-care/home management training, each 15 minutes 7,038 2,777 $141K
97010 5,101 1,902 $140K
97161 2,656 2,183 $128K
97116 8,750 2,791 $100K
90832 Psychotherapy, 30 minutes with patient 3,091 1,244 $98K
96101 103 80 $91K
92523 539 433 $89K
97166 1,983 1,483 $88K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 6,062 3,773 $86K
97035 2,358 700 $73K
92609 1,365 437 $55K
92526 1,928 575 $52K
97163 1,244 896 $34K
90792 Psychiatric diagnostic evaluation with medical services 203 120 $21K
90847 Family psychotherapy with the patient present, 50 minutes 312 184 $18K
97760 753 432 $18K
97129 390 113 $13K
J0475 Injection, baclofen, 10 mg 55 26 $13K
97542 815 565 $11K
90837 Psychotherapy, 53 minutes with patient 206 104 $11K
99232 Subsequent hospital care, per day, moderate complexity 482 339 $8K
97165 204 147 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 788 363 $7K
96131 33 31 $7K
90834 Psychotherapy, 45 minutes with patient 154 97 $6K
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 96 13 $5K
97763 402 194 $5K
90846 Family psychotherapy without the patient present, 50 minutes 84 58 $5K
99443 76 63 $4K
97014 212 66 $4K
62369 51 25 $3K
97167 90 68 $3K
95911 15 12 $3K
99215 Prolong outpt/office vis 60 52 $2K
90785 260 165 $2K
94010 901 609 $2K
92522 39 24 $2K
95886 992 723 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 103 91 $936.98
92610 20 14 $769.04
95909 17 13 $522.98
D0140 Limited oral evaluation - problem focused 21 14 $359.04
94375 46 25 $261.49
90686 120 112 $150.70
36415 Collection of venous blood by venipuncture 4,160 1,557 $60.90
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,163 1,082 $49.01
80053 Comprehensive metabolic panel 954 563 $43.21
80048 Basic metabolic panel (calcium, ionized) 867 486 $39.68
G0008 Administration of influenza virus vaccine 198 173 $35.59
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 857 595 $4.87
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 761 534 $4.39
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 233 169 $1.20
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $1.11
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 50 34 $0.20
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 49 35 $0.20
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 18 13 $0.08
96138 145 111 $0.00
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each 1,190 525 $0.00
99499 40 34 $0.00
96136 33 19 $0.00
83735 69 37 $0.00
94760 2,156 443 $0.00
A4349 Male external catheter, with or without adhesive, disposable, each 7,591 662 $0.00
96139 268 120 $0.00
87077 38 24 $0.00