Physician
Pediatric Health Associates PC.
Pediatric Health Associates PC. was paid $2.95M by Medicaid between Jan 2018 and Aug 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoPEDIATRIC HEALTH ASSOCIATES PC.
HARTFORD, CT 06105
HARTFORD, CT 06105
33aNPI1689074148assigned 09/02/2014
33bProvider typePediatrics Physician
28Total paid$2.95M
24GClaims76,166
24DCodes billed47
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#26 of 162
Median peer was paid$313K
This provider vs. median9.4×
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 | 7,961 | $295K | |
| 2019 | 8,869 | $341K | |
| 2020 | 8,984 | $338K | |
| 2021 | 11,366 | $438K | |
| 2022 | 15,017 | $566K | |
| 2023 | 14,611 | $607K | |
| 2024incomplete | 9,358 | $360K |
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 | 20% | 7,575 | 6,304 | $580K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 3,052 | 2,864 | $425K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,928 | 2,470 | $328K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 7,333 | 6,505 | $317K |
| 92587 | 8.0% | 7,524 | 6,922 | $236K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.4% | 4,659 | 4,060 | $217K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 1,559 | 1,423 | $190K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.9% | 6,013 | 5,546 | $174K |
| 99177 | 4.5% | 7,525 | 6,924 | $132K | |
| 99188 | 2.8% | 3,729 | 3,469 | $82K | |
| 96127 | 2.5% | 2,680 | 2,462 | $72K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 592 | 538 | $72K |
35 more codes
| 87428 | 1.4% | 1,424 | $41K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 618 | $16K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 123 | $14K |
| 36416 | <1% | 3,719 | $11K | |
| D1206 | Topical application of fluoride varnish | <1% | 518 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 768 | $8K |
| 88720 | <1% | 1,068 | $4K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 56 | $4K |
| 99381 | <1% | 27 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 227 | $2K |
| 69210 | <1% | 90 | $2K | |
| 87807 | <1% | 101 | $893.10 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 18 | $500.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $459.29 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $52.05 |
| 90686 | <1% | 2,063 | $19.05 | |
| 90671 | <1% | 574 | $0.53 | |
| 90670 | <1% | 1,353 | $0.03 | |
| 90680 | 0% | 1,083 | $0.00 | |
| 90723 | 0% | 1,307 | $0.00 | |
| 90651 | 0% | 142 | $0.00 | |
| 85018 | 0% | 981 | $0.00 | |
| 90716 | 0% | 638 | $0.00 | |
| 90619 | 0% | 38 | $0.00 | |
| 90696 | 0% | 48 | $0.00 | |
| 90660 | 0% | 85 | $0.00 | |
| 90707 | 0% | 644 | $0.00 | |
| 90633 | 0% | 846 | $0.00 | |
| 90648 | 0% | 1,896 | $0.00 | |
| 90672 | 0% | 363 | $0.00 | |
| 90685 | 0% | 44 | $0.00 | |
| 90681 | 0% | 27 | $0.00 | |
| 90700 | 0% | 34 | $0.00 | |
| 90734 | 0% | 31 | $0.00 | |
| 90715 | 0% | 12 | $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 officialDHINGRA, SACHIN (PRESIDENT & CEO)