Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hartford Area Pediatrics PC

Hartford Area Pediatrics PC was paid $341K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoHARTFORD AREA PEDIATRICS PC
AVON, CT 06001
33aNPI1558516104assigned 11/24/2008
33bProvider typePediatrics Physician
28Total paid$341K
24GClaims10,339
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Connecticut

Rank by total paid#81 of 162
Median peer was paid$313K
This provider vs. median1.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,171$39K
20191,485$47K
20201,345$39K
20211,944$65K
20221,919$63K
20231,354$48K
2024incomplete1,121$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60% 3,260 2,829 $203K
90460 Immunization administration through 18 years of age via any route, first or only component 19% 1,927 1,801 $64K
96127 5.9% 989 954 $20K
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 5.1% 176 165 $18K
99173 2.2% 1,067 1,027 $8K
92551 1.9% 1,088 1,047 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.5% 48 48 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.5% 224 209 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.2% 145 126 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 28 25 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 14 13 $2K
0072A <1% 22 17 $680.00
9 more codes
90480 <1% 21 $600.00
0071A <1% 19 $600.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 $543.60
90686 <1% 1,056 $180.38
90674 0% 118 $0.00
91307 0% 44 $0.00
90661 0% 46 $0.00
91321 0% 21 $0.00
99072 0% 14 $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 officialBINDER, THOMAS (OWNER/PHYSICIAN)