Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OPTIMUM MEDICAL LLC

NPI: 1720215346 · DANBURY, CT 06810 · Pediatrics Physician · NPI assigned 06/22/2009

$8.93M
Total Medicaid Paid
344,724
Total Claims
316,808
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialETIENNE, JACQUES (PHYSICIAN/OWNER)
NPI Enumeration Date06/22/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44,014 $1.32M
2019 45,488 $1.29M
2020 44,272 $1.12M
2021 48,468 $1.22M
2022 54,477 $1.35M
2023 54,931 $1.35M
2024 53,074 $1.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,047 33,206 $2.90M
90460 Immunization administration through 18 years of age via any route, first or only component 20,874 19,576 $933K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,819 6,318 $715K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,403 6,172 $672K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,877 5,646 $609K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,233 4,778 $521K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,124 3,035 $358K
99174 18,614 17,911 $354K
96110 Developmental screening, with scoring and documentation, per standardized instrument 15,764 15,034 $273K
92587 6,148 5,852 $205K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,477 4,331 $192K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,938 3,649 $134K
96127 5,430 5,214 $93K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,738 7,287 $85K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,268 3,417 $81K
99051 11,213 10,205 $75K
36416 21,531 20,593 $71K
96160 3,963 3,812 $66K
94664 6,907 6,062 $61K
94375 2,520 2,404 $54K
82570 10,785 10,236 $51K
94010 2,345 2,225 $49K
85014 19,923 19,038 $43K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,248 2,191 $40K
80061 Lipid panel 3,037 2,911 $37K
99381 313 306 $34K
94760 20,036 17,483 $32K
87428 521 475 $31K
81001 10,767 10,215 $31K
83655 2,051 1,986 $23K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 477 453 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 530 506 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 81 78 $12K
99401 344 330 $12K
82947 3,042 2,915 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 138 136 $10K
88720 1,547 662 $7K
99383 59 57 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 136 122 $7K
99242 112 93 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 47 44 $5K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 31 13 $3K
99382 13 13 $2K
99239 Hospital discharge day management, more than 30 minutes 25 25 $1K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 74 73 $1K
99460 13 13 $597.74
85018 19,873 19,002 $168.35
87807 14 13 $160.30
86580 26 26 $154.57
90686 8,653 8,314 $76.19
90744 1,868 1,796 $26.14
90671 746 722 $1.13
90670 2,871 2,760 $0.06
90685 707 694 $0.05
90672 321 305 $0.01
90696 596 577 $0.00
90716 2,278 2,196 $0.00
90651 1,930 1,860 $0.00
90619 180 174 $0.00
90680 2,248 2,156 $0.00
90656 884 860 $0.00
90677 160 155 $0.00
90674 1,502 1,476 $0.00
90700 3,724 3,575 $0.00
90734 974 936 $0.00
90648 3,739 3,595 $0.00
90633 2,441 2,335 $0.00
90715 507 493 $0.00
90713 2,902 2,787 $0.00
90681 184 177 $0.00
90707 2,266 2,189 $0.00
90621 421 411 $0.00
90661 126 123 $0.00