Medicaid Provider Spending

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

CONNECTICUT POST ACUTE MEDICAL SERVICES 1 PC

NPI: 1558890467 · DERBY, CT 06418 · Hospitalist Physician · NPI assigned 06/06/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOLTZCLAW, STEPHEN controls 19+ related entities in our dataset. Read more

$5.08M
Total Medicaid Paid
265,775
Total Claims
126,241
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOLTZCLAW, STEPHEN (PRESIDENT)
NPI Enumeration Date06/06/2017

Related Entities

Other providers sharing the same authorized official: HOLTZCLAW, STEPHEN

ProviderCityStateTotal Paid
GREATER ROCHESTER IMMEDIATE MEDICAL CARE, PLLC ROCHESTER NY $5.18M
NEW CENTURY PHYSICIANS OF IOWA PC COUNCIL BLUFFS IA $4.96M
INPATIENT MEDICAL SERVICES, INC. HUDSON OH $2.44M
NEW CENTURY PHYSICIANS OF NEBRASKA LLC OMAHA NE $914K
MASSACHUSETTS POST ACUTE MEDICAL SERVICES 1 PC ANNAPOLIS MD $855K
ALABAMA POST-ACUTE MEDICAL SERVICE 1 PC PHENIX CITY AL $749K
NEW CENTURY PHYSICIANS OF NEBRASKA LLC PAPILLION NE $459K
MARYLAND POST ACUTE MEDICAL SERVICES 1 PC ANNAPOLIS MD $94K
EXIGENCE HOSPITALIST MEDICAL SERVICES OF LEWISTON, PLLC LEWISTON NY $64K
DHP OF NORTH CAROLINA PC NEW BERN NC $63K
JAMESTOWN PHYSICIAN SERVICES OF NY PC JAMESTOWN NY $49K
MC HOSPITALISTS PC OWOSSO MI $26K
MARYLAND ANESTHESIA & PAIN MANAGEMENT SERVICES, P.C. BEL AIR MD $23K
HIALEAH ANESTHESIA SPECIALISTS LLC HIALEAH FL $14K
NEW HAMPSHIRE POST ACUTE MEDICAL SERVICES 1 PC NASHUA NH $8K
EMERGENCY MEDICINE OF RACINE SC MOUNT PLEASANT WI $869.54
DHP OF PIEDMONT PC FAYETTEVILLE GA $633.60
IPC HOSPITALISTS OF NEW ENGLAND PC SPRINGFIELD MA $468.82
PORTLAND ANESTHESIA SPECIALISTS LLC PORTLAND OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47,966 $582K
2019 41,224 $684K
2020 45,216 $754K
2021 49,555 $679K
2022 36,665 $860K
2023 24,755 $824K
2024 20,394 $700K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 157,096 65,638 $3.39M
99308 Subsequent nursing facility care, per day, straightforward 66,329 33,432 $1.19M
99306 Prolong nursin fac eval 15m 3,795 2,519 $197K
99310 Prolong nursin fac eval 15m 5,179 2,389 $137K
99305 2,098 1,710 $133K
99316 439 305 $17K
99318 288 170 $6K
90832 Psychotherapy, 30 minutes with patient 4,168 855 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 120 97 $5K
99307 328 208 $2K
99497 59 57 $146.59
1100F 1,689 1,674 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14,154 7,542 $0.00
G8482 Influenza immunization administered or previously received 2,322 2,243 $0.00
3288F 1,659 1,644 $0.00
0518F 1,812 1,793 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 413 399 $0.00
G9368 At least two orders for high-risk medications from the same drug class not ordered 192 191 $0.00
99442 14 12 $0.00
G8484 Influenza immunization was not administered, reason not given 66 65 $0.00
1124F 17 17 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 16 16 $0.00
1123F 2,868 2,831 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 620 400 $0.00
1036F 17 17 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 17 17 $0.00