Hospital for Special Care

Hospital for Special Care was paid $12.38M by Medicaid between Jan 2018 and Nov 2024, across 79 billing codes. Its largest line is 96132, — 18% of everything it billed.

33Billing provider infoHOSPITAL FOR SPECIAL CARE
NEW BRITAIN, CT 06053

33aNPI1477534089assigned 11/10/2005

33bProvider typeDevelopmental - Behavioral Pediatrics Physician

28Total paid$12.38M

24GClaims278,750

24DCodes billed79

24AFirst – last monthJan 2018 – Nov 2024

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	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
2024incomplete	39,371	$1.96M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96132		18%	4,433	2,696	$2.26M
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	16%	32,353	7,973	$2.03M
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	13%	43,403	11,854	$1.67M
97530	Therapeutic activities, direct patient contact, each 15 minutes	12%	43,257	12,307	$1.53M
97113		4.5%	13,379	3,932	$559K
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	4.1%	8,917	6,536	$505K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	4.1%	2,703	193	$504K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	3.1%	13,957	3,931	$378K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3.0%	12,022	8,148	$370K
96118		2.4%	420	316	$292K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	3,353	2,285	$278K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.2%	2,992	2,298	$277K

67 more codes

97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	1.6%	20,678	$195K
97162		1.4%	4,813	$174K
97535	Self-care/home management training, each 15 minutes	1.1%	7,038	$141K
97010		1.1%	5,101	$140K
97161		1.0%	2,656	$128K
97116		<1%	8,750	$100K
90832	Psychotherapy session, about 30 minutes	<1%	3,091	$98K
96101		<1%	103	$91K
92523		<1%	539	$89K
97166		<1%	1,983	$88K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	6,062	$86K
97035		<1%	2,358	$73K
92609		<1%	1,365	$55K
92526		<1%	1,928	$52K
97163		<1%	1,244	$34K
90792	Psychiatric diagnostic evaluation with medical services	<1%	203	$21K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	312	$18K
97760		<1%	753	$18K
97129		<1%	390	$13K
J0475	Injection, baclofen, 10 mg	<1%	55	$13K
97542		<1%	815	$11K
90837	Psychotherapy session, about an hour	<1%	206	$11K
99232	Hospital visit by a doctor, follow-up day	<1%	482	$8K
97165		<1%	204	$8K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	788	$7K
96131		<1%	33	$7K
90834	Psychotherapy session, about 45 minutes	<1%	154	$6K
97153	Applied behavior analysis (autism therapy), per 15 minutes	<1%	96	$5K
97763		<1%	402	$5K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	84	$5K
99443		<1%	76	$4K
97014		<1%	212	$4K
62369		<1%	51	$3K
97167		<1%	90	$3K
95911		<1%	15	$3K
99215	Doctor's office visit, returning patient (complex)	<1%	60	$2K
90785		<1%	260	$2K
94010		<1%	901	$2K
92522		<1%	39	$2K
95886		<1%	992	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	103	$936.98
92610		<1%	20	$769.04
95909		<1%	17	$522.98
D0140	Limited oral evaluation - problem focused	<1%	21	$359.04
94375		<1%	46	$261.49
90686		<1%	120	$150.70
36415	Collection of venous blood by venipuncture	<1%	4,160	$60.90
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	2,163	$49.01
80053	Comprehensive metabolic panel	<1%	954	$43.21
80048	Basic metabolic panel (calcium, ionized)	<1%	867	$39.68
G0008	Administration of influenza virus vaccine	<1%	198	$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	<1%	857	$4.87
G8978	Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals	<1%	761	$4.39
G8980	Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting	<1%	233	$1.20
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	12	$1.11
G8987	Self care functional limitation, current status, at therapy episode outset and at reporting intervals	<1%	50	$0.20
G8988	Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	<1%	49	$0.20
G8989	Self care functional limitation, discharge status, at discharge from therapy or to end reporting	<1%	18	$0.08
96138		0%	145	$0.00
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	0%	1,190	$0.00
99499		0%	40	$0.00
96136		0%	33	$0.00
83735		0%	69	$0.00
94760		0%	2,156	$0.00
A4349	Male external catheter, with or without adhesive, disposable, each	0%	7,591	$0.00
96139		0%	268	$0.00
87077		0%	38	$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 officialRUDMAN, LAURIE (SENIOR VICE PRESIDENT, CFO)