Physician
Naugatuck Pediatrics, LLC
Naugatuck Pediatrics, LLC was paid $1.54M by Medicaid between Jan 2018 and Oct 2022, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoNAUGATUCK PEDIATRICS, LLC
NAUGATUCK, CT 06770
NAUGATUCK, CT 06770
33aNPI1497959233assigned 06/14/2007
33bProvider typePediatrics Physician
28Total paid$1.54M
24GClaims38,951
24DCodes billed34
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#43 of 162
Median peer was paid$313K
This provider vs. median4.9×
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 | 10,421 | $425K | |
| 2019 | 9,324 | $362K | |
| 2020 | 6,494 | $252K | |
| 2021 | 7,416 | $285K | |
| 2022 | 5,296 | $217K |
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 | 37% | 9,020 | 7,558 | $571K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 5,538 | 5,001 | $222K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 2,151 | 1,943 | $199K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 1,715 | 1,504 | $170K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 1,611 | 1,467 | $153K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 1,191 | 1,052 | $106K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 2,412 | 2,126 | $36K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 1,241 | 1,139 | $29K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 398 | 352 | $13K |
| 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 | <1% | 90 | 85 | $9K |
| 36416 | <1% | 2,800 | 2,473 | $8K | |
| 99173 | <1% | 980 | 870 | $6K |
22 more codes
| 92551 | <1% | 1,053 | $6K | |
| 99442 | <1% | 166 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 282 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 138 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 113 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 40 | $650.00 |
| 85018 | <1% | 2,896 | $53.32 | |
| 90670 | <1% | 616 | $0.01 | |
| 90685 | <1% | 160 | $0.01 | |
| 90686 | <1% | 2,481 | $0.01 | |
| 90734 | 0% | 391 | $0.00 | |
| 90707 | 0% | 36 | $0.00 | |
| 90681 | 0% | 45 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90461 | 0% | 13 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90723 | 0% | 175 | $0.00 | |
| 90651 | 0% | 401 | $0.00 | |
| 90647 | 0% | 632 | $0.00 | |
| 90716 | 0% | 73 | $0.00 | |
| 90680 | 0% | 40 | $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 officialELSER, LORI (OFFICE MANAGER)