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

Pediatric Partners, LLC

Pediatric Partners, LLC was paid $839K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoPEDIATRIC PARTNERS, LLC
BLOOMFIELD, CT 06002
33aNPI1568805059assigned 04/15/2013
28Total paid$839K
24GClaims22,011
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Connecticut

Rank by total paid#9 of 16
Median peer was paid$839K
This provider vs. median1.0×

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$10K$20K$30K2018201920202021202220232024
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
20183,243$127K
20192,860$115K
20202,711$94K
20213,782$138K
20223,531$142K
20233,004$124K
2024incomplete2,880$100K
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 57% 8,047 6,557 $479K
90460 Immunization administration through 18 years of age via any route, first or only component 18% 4,034 3,753 $153K
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 11% 1,063 896 $92K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.9% 494 461 $49K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.2% 193 173 $18K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.7% 137 131 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.5% 471 391 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 349 335 $8K
36416 <1% 1,528 1,424 $5K
92587 <1% 55 54 $2K
99173 <1% 184 163 $1K
92551 <1% 144 136 $869.66
19 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 82 $738.95
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 $453.00
0072A <1% 16 $440.00
90686 <1% 2,123 $417.15
0071A <1% 12 $400.00
87428 <1% 14 $371.28
87400 <1% 35 $297.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 31 $251.90
87430 <1% 12 $125.95
85018 <1% 1,636 $36.16
90698 0% 24 $0.00
99000 0% 308 $0.00
91307 0% 35 $0.00
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) 0% 529 $0.00
90461 0% 334 $0.00
99072 0% 69 $0.00
90671 0% 12 $0.00
90685 0% 14 $0.00
90670 0% 12 $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 officialKALLOR, SCOTT (DO / OWNER)