NP / PA
Patient Choice Medical Care LLC
Patient Choice Medical Care LLC was paid $574K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoPATIENT CHOICE MEDICAL CARE LLC
HAMDEN, CT 06518
HAMDEN, CT 06518
33aNPI1558715466assigned 04/17/2016
33bProvider typeAdult Health Nurse Practitioner
28Total paid$574K
24GClaims9,921
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Adult Health Nurse Practitioner providers in Connecticut
Rank by total paid#3 of 23
Median peer was paid$35K
This provider vs. median17×
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 | 1,146 | $47K | |
| 2019 | 1,248 | $65K | |
| 2020 | 1,289 | $76K | |
| 2021 | 1,542 | $90K | |
| 2022 | 1,684 | $104K | |
| 2023 | 1,600 | $103K | |
| 2024incomplete | 1,412 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 62% | 5,190 | 4,165 | $355K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 3,644 | 2,942 | $195K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 243 | 194 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 34 | 33 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | 24 | $3K |
| 93000 | <1% | 310 | 250 | $3K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 109 | 89 | $2K |
| 96127 | <1% | 86 | 77 | $1K | |
| 90686 | <1% | 106 | 86 | $1K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 14 | 12 | $708.16 |
| 99327 | <1% | 12 | 12 | $459.14 | |
| 99336 | <1% | 18 | 12 | $394.75 |
2 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 85 | $126.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 45 | $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 officialDESILVA, GARAMUNI (OWNER)