Medicaid Provider Spending

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

MANCHESTER FAMILY CARE LLC

NPI: 1740395755 · SOUTH WINDSOR, CT 06074 · Clinic/Center · NPI assigned 08/20/2006

$1.92M
Total Medicaid Paid
68,103
Total Claims
53,183
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMEMON, MOHAMMED (PHYSICIAN)
NPI Enumeration Date08/20/2006

Related Entities

Other providers sharing the same authorized official: MEMON, MOHAMMED

ProviderCityStateTotal Paid
PREMIER MEDICAL CARE LLC WINDSOR CT $442K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,274 $243K
2019 11,150 $333K
2020 9,631 $274K
2021 10,070 $281K
2022 10,369 $278K
2023 10,137 $271K
2024 8,472 $237K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,438 14,595 $1.02M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,545 4,082 $363K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,986 1,821 $232K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,228 1,126 $134K
92552 5,644 4,748 $55K
99173 4,830 4,382 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 212 162 $24K
36415 Collection of venous blood by venipuncture 7,035 6,041 $19K
82947 5,770 4,906 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 211 193 $6K
90686 461 371 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 27 $3K
93000 164 138 $2K
87400 195 176 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 187 171 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 55 40 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 43 38 $800.64
85018 5,583 4,796 $760.51
81003 5,950 4,960 $723.94
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 435 317 $540.01
86580 15 15 $87.64
3074F 46 40 $60.00
1170F 16 14 $0.02
1111F 26 24 $0.01