Physician
Healthy Children Pediatrics, LLC
Healthy Children Pediatrics, LLC was paid $1.26M by Medicaid between May 2022 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoHEALTHY CHILDREN PEDIATRICS, LLC
MIDDLEBURY, CT 06762
MIDDLEBURY, CT 06762
33aNPI1710639455assigned 01/24/2022
33bProvider typePediatrics Physician
28Total paid$1.26M
24GClaims38,200
24DCodes billed42
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#50 of 162
Median peer was paid$313K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2022 | 7,134 | $213K | |
| 2023 | 16,276 | $470K | |
| 2024incomplete | 14,790 | $574K |
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 | 34% | 6,236 | 4,387 | $432K |
| 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 | 8.4% | 1,007 | 853 | $105K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 728 | 634 | $89K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 776 | 607 | $84K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 2,390 | 1,949 | $77K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.7% | 1,535 | 606 | $72K |
| 96127 | 5.3% | 3,457 | 2,254 | $66K | |
| 92558 | 4.4% | 2,859 | 2,378 | $56K | |
| 99174 | 3.5% | 2,763 | 2,358 | $44K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 418 | 347 | $43K |
| 96160 | 2.6% | 2,713 | 1,668 | $33K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.5% | 976 | 810 | $31K |
30 more codes
| 99050 | 2.0% | 2,389 | $25K | |
| 99188 | 1.6% | 1,103 | $20K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 1,658 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 426 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 1,440 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 731 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 46 | $5K |
| 99384 | <1% | 33 | $3K | |
| 99383 | <1% | 17 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 104 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 70 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 61 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 15 | $975.12 |
| 87807 | <1% | 47 | $274.80 | |
| 85018 | <1% | 1,655 | $20.34 | |
| 90696 | <1% | 44 | $0.05 | |
| 90686 | <1% | 704 | $0.03 | |
| 90620 | <1% | 91 | $0.02 | |
| 90633 | <1% | 326 | $0.01 | |
| 90671 | 0% | 356 | $0.00 | |
| 90648 | 0% | 13 | $0.00 | |
| 90710 | 0% | 98 | $0.00 | |
| 90715 | 0% | 43 | $0.00 | |
| 90670 | 0% | 116 | $0.00 | |
| 90734 | 0% | 78 | $0.00 | |
| 90651 | 0% | 182 | $0.00 | |
| 90697 | 0% | 235 | $0.00 | |
| 90680 | 0% | 200 | $0.00 | |
| 90619 | 0% | 49 | $0.00 | |
| 90723 | 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 officialHAFEZ, EZZAT (MANAGING MEMBER)