Medicaid Provider Spending

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

CHILD & ADOLESCENT HEALTH CARE

NPI: 1497937411 · WATERBURY, CT 06710 · Pediatrics Physician · NPI assigned 11/30/2007

$6.50M
Total Medicaid Paid
198,281
Total Claims
184,814
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUDOLPH, JANE (OWNER)
NPI Enumeration Date11/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,782 $890K
2019 25,949 $926K
2020 26,860 $739K
2021 33,932 $912K
2022 32,290 $1.12M
2023 29,127 $935K
2024 30,341 $985K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,748 12,595 $1.62M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,298 16,951 $1.43M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,932 4,717 $688K
90460 Immunization administration through 18 years of age via any route, first or only component 16,462 15,513 $580K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,703 3,940 $553K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,478 3,350 $434K
96127 16,819 15,907 $338K
96110 Developmental screening, with scoring and documentation, per standardized instrument 11,507 10,844 $264K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,800 1,642 $213K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,518 2,332 $117K
99173 8,769 8,312 $59K
99174 2,668 2,430 $46K
36416 11,229 10,677 $35K
96161 1,651 1,505 $32K
D0145 Oral evaluation for a patient under three years of age 5,101 4,872 $31K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,382 1,273 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 992 914 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 344 300 $7K
99442 197 181 $7K
87634 103 101 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 76 73 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 33 31 $2K
96160 102 95 $2K
99401 106 104 $2K
94760 991 893 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 14 $540.96
83655 34 34 $393.04
85018 11,255 10,693 $6.55
90671 482 431 $0.57
90686 4,521 4,245 $0.05
97802 17,747 16,788 $0.00
99000 2,324 2,144 $0.00
90680 686 627 $0.00
90723 715 695 $0.00
90647 630 607 $0.00
90619 58 51 $0.00
90697 350 258 $0.00
90656 129 126 $0.00
90674 637 625 $0.00
90696 12 12 $0.00
99441 12 12 $0.00
90651 55 54 $0.00
99072 5,419 4,842 $0.00
90461 7,333 6,864 $0.00
99071 8,794 8,362 $0.00
90670 1,603 1,553 $0.00
90633 301 293 $0.00
81002 5,436 5,226 $0.00
90710 77 75 $0.00
90685 197 190 $0.00
90661 370 362 $0.00
90734 67 66 $0.00
90672 13 13 $0.00