NP / PA
Northwest Hills Pediatrics PC
Northwest Hills Pediatrics PC was paid $5.64M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoNORTHWEST HILLS PEDIATRICS PC
TORRINGTON, CT 06790
TORRINGTON, CT 06790
33aNPI1639220676assigned 01/16/2007
33bProvider typeFamily Nurse Practitioner
28Total paid$5.64M
24GClaims118,164
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Connecticut
Rank by total paid#5 of 108
Median peer was paid$32K
This provider vs. median174×
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 | 14,997 | $817K | |
| 2019 | 15,049 | $791K | |
| 2020 | 14,420 | $615K | |
| 2021 | 17,245 | $746K | |
| 2022 | 20,670 | $865K | |
| 2023 | 18,302 | $939K | |
| 2024incomplete | 17,481 | $862K |
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 | 41% | 24,168 | 20,742 | $2.30M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 16,166 | 14,478 | $1.01M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.8% | 16,315 | 15,008 | $438K |
| 96127 | 6.4% | 21,833 | 18,730 | $362K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.4% | 2,321 | 1,854 | $302K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 2,732 | 2,517 | $269K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 2,002 | 1,854 | $209K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 3.2% | 542 | 492 | $179K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.9% | 9,685 | 8,946 | $161K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 1,527 | 1,440 | $154K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 1,283 | 1,142 | $118K |
| 92587 | <1% | 1,650 | 1,528 | $47K |
42 more codes
| 87428 | <1% | 646 | $16K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 438 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 205 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 771 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 655 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 262 | $6K |
| 99460 | <1% | 142 | $5K | |
| 0071A | <1% | 180 | $5K | |
| 36416 | <1% | 1,784 | $4K | |
| 0072A | <1% | 130 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 67 | $3K |
| 90480 | <1% | 68 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 66 | $1K |
| 99174 | <1% | 95 | $882.00 | |
| 87807 | <1% | 80 | $823.83 | |
| 0001A | <1% | 16 | $600.00 | |
| 94760 | <1% | 431 | $590.82 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $571.62 |
| 0054A | <1% | 28 | $480.00 | |
| 99173 | <1% | 62 | $256.12 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 90 | $209.33 |
| 85018 | <1% | 1,652 | $104.74 | |
| 90686 | <1% | 7,478 | $39.65 | |
| 90670 | <1% | 248 | $0.01 | |
| 99000 | 0% | 247 | $0.00 | |
| 90619 | 0% | 54 | $0.00 | |
| 90677 | 0% | 105 | $0.00 | |
| 90697 | 0% | 80 | $0.00 | |
| 91307 | 0% | 424 | $0.00 | |
| 90651 | 0% | 156 | $0.00 | |
| 90723 | 0% | 71 | $0.00 | |
| 91305 | 0% | 34 | $0.00 | |
| 99072 | 0% | 814 | $0.00 | |
| 90648 | 0% | 134 | $0.00 | |
| 90633 | 0% | 52 | $0.00 | |
| 91308 | 0% | 12 | $0.00 | |
| 90710 | 0% | 17 | $0.00 | |
| 91322 | 0% | 13 | $0.00 | |
| 91321 | 0% | 12 | $0.00 | |
| 90734 | 0% | 67 | $0.00 | |
| 90715 | 0% | 20 | $0.00 | |
| 91300 | 0% | 17 | $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 officialKAVLE, EDWARD (PRESIDENT)