Physician
Guilford Pediatrics INC
Guilford Pediatrics INC was paid $283K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoGUILFORD PEDIATRICS INC
GUILFORD, CT 06437
GUILFORD, CT 06437
33aNPI1649452558assigned 12/03/2007
33bProvider typePediatrics Physician
28Total paid$283K
24GClaims7,602
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#84 of 162
Median peer was paid$313K
This provider vs. median0.9×
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 | 1,121 | $54K | |
| 2019 | 1,095 | $52K | |
| 2020 | 1,279 | $26K | |
| 2021 | 895 | $26K | |
| 2022 | 1,010 | $35K | |
| 2023 | 1,369 | $54K | |
| 2024incomplete | 833 | $37K |
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 | 77% | 2,876 | 2,531 | $219K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 1,944 | 1,724 | $56K |
| 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 | 1.3% | 29 | 29 | $4K |
| 96160 | <1% | 181 | 148 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 17 | 13 | $2K |
| 96127 | <1% | 25 | 13 | $320.00 | |
| 90686 | <1% | 966 | 881 | $213.91 | |
| 81002 | <1% | 280 | 244 | $24.16 | |
| 3008F | 0% | 869 | 754 | $0.00 | |
| 90656 | 0% | 78 | 77 | $0.00 | |
| 3074F | 0% | 12 | 12 | $0.00 | |
| 99072 | 0% | 298 | 262 | $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 officialSTEIN, JONATHAN (PRESIDENT)