Medicaid Provider Spending

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

PEDIATRIC MEDICINE OF WALLINGFORD LLP

NPI: 1619004975 · WALLINGFORD, CT 06492 · Pediatrics Physician · NPI assigned 02/27/2007

$1.34M
Total Medicaid Paid
27,903
Total Claims
24,829
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFRANK, STEVE (PARTNER)
NPI Enumeration Date02/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,471 $206K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,078 11,143 $848K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,508 1,331 $152K
90460 Immunization administration through 18 years of age via any route, first or only component 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 2,000 1,851 $89K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,076 1,858 $40K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 210 198 $22K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 91 89 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 74 73 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 991 867 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 342 323 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 126 117 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 25 25 $3K
96127 126 123 $2K
87420 84 78 $867.61
94760 513 451 $757.60
92552 49 47 $587.88
99173 66 62 $430.10
99051 60 56 $378.00
99174 12 12 $240.00
87081 15 14 $88.76
90686 1,912 1,818 $0.00
90461 343 329 $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) 232 213 $0.00
90685 38 30 $0.00