Connecticut Pediatric Otolaryngology

Connecticut Pediatric Otolaryngology was paid $3.42M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoCONNECTICUT PEDIATRIC OTOLARYNGOLOGY
MADISON, CT 06443

33aNPI1750402038assigned 04/03/2007

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$3.42M

24GClaims62,801

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Connecticut

Rank by total paid#2 of 16

Median peer was paid$839K

This provider vs. median4.1×

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	11,009	$597K
2019	9,824	$542K
2020	7,017	$375K
2021	7,818	$381K
2022	9,310	$495K
2023	9,148	$546K
2024incomplete	8,675	$489K

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	39%	32,221	27,260	$1.35M
99243		18%	9,355	8,075	$625K
42820	Tonsillectomy and adenoidectomy; younger than age 12	7.8%	2,114	1,716	$267K
99244	Office or other outpatient consultation, moderate to high complexity	7.2%	2,514	2,104	$246K
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	6.4%	3,423	2,763	$220K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	6.2%	2,357	1,993	$211K
31231		5.0%	2,014	1,738	$171K
69210		3.9%	6,073	5,061	$134K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.9%	1,131	881	$100K
69200		1.8%	983	900	$60K
42830		<1%	297	245	$26K
31575		<1%	167	147	$9K

5 more codes

99245		<1%	24	$3K
30130		<1%	14	$3K
99203	Doctor's office visit, new patient (routine)	<1%	14	$848.32
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	29	$737.84
92567		<1%	71	$702.35

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 officialKARAS, DAVID (OWNER)