Physician
Griffin Faculty Physicians, INC.
Griffin Faculty Physicians, INC. was paid $11.24M by Medicaid between Jan 2018 and Dec 2024, across 139 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoGRIFFIN FACULTY PHYSICIANS, INC.
DERBY, CT 06418
DERBY, CT 06418
33aNPI1598755605assigned 10/28/2005
33bProvider typePediatrics Physician
28Total paid$11.24M
24GClaims757,063
24DCodes billed139
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#3 of 162
Median peer was paid$313K
This provider vs. median36×
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 | 28,734 | $1.24M | |
| 2019 | 32,651 | $1.39M | |
| 2020 | 27,771 | $1.31M | |
| 2021 | 43,648 | $1.65M | |
| 2022 | 169,471 | $1.85M | |
| 2023 | 265,340 | $2.05M | |
| 2024incomplete | 189,448 | $1.75M |
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 | 44% | 71,556 | 66,205 | $4.96M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 49,790 | 45,489 | $2.54M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.1% | 8,683 | 7,961 | $796K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.4% | 13,220 | 5,889 | $270K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.9% | 7,514 | 3,796 | $215K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 2,686 | 2,505 | $207K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 1,734 | 1,671 | $193K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 1,857 | 1,807 | $166K |
| 76830 | Ultrasound, transvaginal | 1.4% | 2,833 | 2,601 | $156K |
| 96127 | 1.2% | 7,276 | 6,860 | $134K | |
| 99223 | Prolong inpt eval add15 m | <1% | 1,904 | 1,742 | $111K |
| 99490 | Ccm add 20min | <1% | 7,271 | 7,089 | $107K |
127 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 776 | $92K |
| 99205 | Prolong outpt/office vis | <1% | 691 | $83K |
| 93000 | <1% | 8,444 | $81K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,960 | $78K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,327 | $74K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 2,354 | $73K |
| 36415 | Collection of venous blood by venipuncture | <1% | 24,321 | $58K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 904 | $57K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 593 | $54K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 619 | $46K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,121 | $45K |
| 99442 | <1% | 1,272 | $41K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,118 | $41K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 740 | $38K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,422 | $34K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 569 | $30K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 371 | $27K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,600 | $27K |
| 99460 | <1% | 561 | $22K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,254 | $22K |
| 92650 | <1% | 460 | $20K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 299 | $20K |
| 92586 | <1% | 525 | $18K | |
| 51798 | <1% | 3,193 | $18K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 833 | $17K |
| 90837 | Psychotherapy session, about an hour | <1% | 225 | $17K |
| 90756 | <1% | 845 | $16K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 133 | $14K |
| 93298 | <1% | 621 | $14K | |
| 82962 | <1% | 10,518 | $12K | |
| 59025 | Fetal non-stress test | <1% | 249 | $12K |
| 99443 | <1% | 217 | $10K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 100 | $9K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 122 | $9K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 143 | $8K |
| 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% | 2,366 | $7K |
| 43775 | <1% | 12 | $7K | |
| 94010 | <1% | 814 | $7K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 360 | $6K |
| 80305 | <1% | 856 | $6K | |
| 94726 | <1% | 942 | $5K | |
| 99385 | <1% | 51 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 730 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,313 | $5K |
| 52000 | <1% | 75 | $5K | |
| 90688 | <1% | 342 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 70 | $5K |
| 93296 | <1% | 489 | $5K | |
| 99464 | <1% | 76 | $4K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 126 | $4K |
| 76818 | <1% | 47 | $4K | |
| 90715 | <1% | 132 | $4K | |
| 94729 | <1% | 956 | $4K | |
| 94618 | <1% | 339 | $4K | |
| 93295 | <1% | 169 | $3K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 25 | $3K |
| 51701 | <1% | 135 | $3K | |
| 99406 | <1% | 360 | $3K | |
| 99243 | <1% | 26 | $2K | |
| 81025 | <1% | 465 | $2K | |
| 99219 | <1% | 65 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 53 | $2K |
| 95251 | <1% | 213 | $2K | |
| 90686 | <1% | 129 | $2K | |
| 99383 | <1% | 18 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 26 | $2K |
| 81002 | <1% | 8,532 | $2K | |
| 94060 | <1% | 277 | $2K | |
| 51736 | <1% | 138 | $2K | |
| 99462 | <1% | 82 | $2K | |
| 96160 | <1% | 78 | $1K | |
| 99384 | <1% | 13 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 71 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 47 | $1K |
| 99386 | <1% | 14 | $1K | |
| 76801 | <1% | 14 | $1K | |
| 99242 | <1% | 18 | $1K | |
| 99292 | <1% | 27 | $1K | |
| 82947 | <1% | 511 | $959.57 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 162 | $906.90 |
| 99397 | <1% | 50 | $851.29 | |
| 99221 | <1% | 33 | $673.68 | |
| 99252 | <1% | 14 | $645.33 | |
| 99318 | <1% | 12 | $518.66 | |
| 90674 | <1% | 21 | $478.21 | |
| 99220 | <1% | 14 | $444.85 | |
| 90656 | <1% | 24 | $402.30 | |
| 93242 | <1% | 85 | $396.51 | |
| 93244 | <1% | 45 | $385.21 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $347.19 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 60 | $318.03 |
| 93294 | <1% | 39 | $273.36 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $268.06 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 25 | $181.16 |
| 99173 | <1% | 29 | $174.80 | |
| 93248 | <1% | 14 | $165.10 | |
| 92551 | <1% | 30 | $155.76 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 26 | $140.14 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,194 | $93.32 |
| 93246 | <1% | 13 | $88.20 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $82.48 |
| 36416 | <1% | 49 | $81.47 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 29 | $33.73 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 96 | $22.27 |
| 94761 | <1% | 12 | $17.28 | |
| 3079F | 0% | 25,126 | $0.00 | |
| 3008F | 0% | 79,099 | $0.00 | |
| 1034F | 0% | 6,121 | $0.00 | |
| 1126F | 0% | 38,931 | $0.00 | |
| 1036F | 0% | 72,430 | $0.00 | |
| 3074F | 0% | 51,458 | $0.00 | |
| 3075F | 0% | 7,650 | $0.00 | |
| 3080F | 0% | 1,935 | $0.00 | |
| 1125F | 0% | 8,673 | $0.00 | |
| 99000 | 0% | 768 | $0.00 | |
| 1123F | 0% | 858 | $0.00 | |
| 3044F | 0% | 623 | $0.00 | |
| 1035F | 0% | 44 | $0.00 | |
| 85018 | 0% | 35 | $0.00 | |
| 1160F | 0% | 68,091 | $0.00 | |
| 1159F | 0% | 68,130 | $0.00 | |
| 3078F | 0% | 39,494 | $0.00 | |
| 3725F | 0% | 7,153 | $0.00 | |
| 3077F | 0% | 4,718 | $0.00 | |
| 3051F | 0% | 70 | $0.00 | |
| 3288F | 0% | 72 | $0.00 | |
| 3046F | 0% | 16 | $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 officialVINCI, LORI (VP)