Physician
Pediatric Medicine of Wallingford LLP
Pediatric Medicine of Wallingford LLP was paid $1.34M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoPEDIATRIC MEDICINE OF WALLINGFORD LLP
WALLINGFORD, CT 06492
WALLINGFORD, CT 06492
33aNPI1619004975assigned 02/27/2007
33bProvider typePediatrics Physician
28Total paid$1.34M
24GClaims27,903
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#47 of 162
Median peer was paid$313K
This provider vs. median4.3×
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 | 3,914 | $200K | |
| 2019 | 3,934 | $179K | |
| 2020 | 3,178 | $139K | |
| 2021 | 2,929 | $142K | |
| 2022 | 4,997 | $246K | |
| 2023 | 4,480 | $225K | |
| 2024incomplete | 4,471 | $206K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63% | 13,078 | 11,143 | $848K |
| 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% | 1,508 | 1,331 | $152K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 3,932 | 3,721 | $141K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 6.7% | 2,000 | 1,851 | $89K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.0% | 2,076 | 1,858 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 210 | 198 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 91 | 89 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 74 | 73 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 991 | 867 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 342 | 323 | $6K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 126 | 117 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 25 | 25 | $3K |
12 more codes
| 96127 | <1% | 126 | $2K | |
| 87420 | <1% | 84 | $867.61 | |
| 94760 | <1% | 513 | $757.60 | |
| 92552 | <1% | 49 | $587.88 | |
| 99173 | <1% | 66 | $430.10 | |
| 99051 | <1% | 60 | $378.00 | |
| 99174 | <1% | 12 | $240.00 | |
| 87081 | <1% | 15 | $88.76 | |
| 90686 | 0% | 1,912 | $0.00 | |
| 90461 | 0% | 343 | $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% | 232 | $0.00 |
| 90685 | 0% | 38 | $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 officialFRANK, STEVE (PARTNER)