Physician
Southington Pediatric Associates LLC
Southington Pediatric Associates LLC was paid $542K by Medicaid between Jan 2018 and Mar 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoSOUTHINGTON PEDIATRIC ASSOCIATES LLC
SOUTHINGTON, CT 06489
SOUTHINGTON, CT 06489
33aNPI1659585149assigned 05/10/2007
33bProvider typePediatrics Physician
28Total paid$542K
24GClaims12,014
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#71 of 162
Median peer was paid$313K
This provider vs. median1.7×
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 | 1,756 | $69K | |
| 2019 | 1,678 | $76K | |
| 2020 | 1,431 | $59K | |
| 2021 | 1,684 | $75K | |
| 2022 | 2,320 | $115K | |
| 2023 | 2,530 | $111K | |
| 2024incomplete | 615 | $36K |
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 | 62% | 5,214 | 4,626 | $337K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 2,795 | 2,596 | $81K |
| 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 | 7.7% | 416 | 390 | $42K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.7% | 293 | 134 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 192 | 188 | $19K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.9% | 370 | 325 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 112 | 99 | $10K |
| 99173 | 1.5% | 1,195 | 1,119 | $8K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 43 | 40 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 88 | 83 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $1K |
| 96127 | <1% | 85 | 53 | $1K |
6 more codes
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 officialSKARVINKO, GEORGE (MD OWNER OF PRACTICE)