Medicaid Provider Spending

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

PRIORITY FAMILY HEALTHCARE OF NORTHEAST CONNECTICUT, LLC

NPI: 1720391311 · PUTNAM, CT 06260 · Family Medicine Physician · NPI assigned 07/23/2010

$360K
Total Medicaid Paid
9,318
Total Claims
7,951
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFATTALEH, RAJA (OWNER)
NPI Enumeration Date07/23/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,814 $58K
2019 1,501 $48K
2020 1,406 $50K
2021 1,487 $56K
2022 1,336 $58K
2023 997 $50K
2024 777 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,231 2,746 $175K
99215 Prolong outpt/office vis 1,614 1,414 $92K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,647 1,344 $59K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,392 1,171 $18K
99442 127 114 $5K
99443 70 59 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 102 93 $3K
90686 280 265 $2K
94200 100 93 $846.76
90460 Immunization administration through 18 years of age via any route, first or only component 34 28 $752.50
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 13 12 $413.80
90674 43 32 $281.30
90688 65 54 $249.77
96127 14 13 $144.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 69 61 $84.34
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 191 159 $62.61
99058 266 239 $0.00
G0008 Administration of influenza virus vaccine 15 14 $0.00
81002 45 40 $0.00