Behavioral
Middlesex Hospital
Middlesex Hospital was paid $700K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 33% of everything it billed.
33Billing provider infoMIDDLESEX HOSPITAL
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
33aNPI1760451041assigned 03/17/2006
33bProvider typeClinical Psychologist
28Total paid$700K
24GClaims27,254
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Psychologist providers in Connecticut
Rank by total paid#5 of 68
Median peer was paid$56K
This provider vs. median13×
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 | 3,750 | $103K | |
| 2019 | 3,418 | $85K | |
| 2020 | 4,221 | $92K | |
| 2021 | 3,972 | $95K | |
| 2022 | 4,218 | $111K | |
| 2023 | 4,396 | $127K | |
| 2024incomplete | 3,279 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 33% | 10,036 | 3,122 | $232K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 17% | 9,622 | 3,473 | $119K |
| 99239 | Hospital discharge day management, more than 30 minutes | 14% | 2,529 | 2,317 | $98K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.4% | 660 | 600 | $66K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.6% | 1,237 | 1,116 | $60K |
| 99223 | Prolong inpt eval add15 m | 4.1% | 388 | 365 | $29K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.9% | 751 | 226 | $21K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.3% | 583 | 541 | $16K |
| 99221 | 2.1% | 472 | 388 | $15K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.0% | 341 | 308 | $14K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.3% | 140 | 130 | $9K |
| 99245 | <1% | 52 | 51 | $7K |
9 more codes
| 99283 | Emergency room visit (moderate) | <1% | 170 | $4K |
| 99253 | <1% | 56 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 49 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 26 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 29 | $1K |
| 96130 | <1% | 25 | $858.55 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 34 | $671.93 |
| 96136 | <1% | 25 | $429.22 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 29 | $346.33 |
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 officialCAPECE, VINCENT (CEO)
Parent organizationMIDDLESEX HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Middlesex Hospital | Middletown, CT | $116.08M |
| Middlesex Hospital | Middletown, CT | $7.45M |
| Middlesex Hospital | Middletown, CT | $2.70M |
| Middlesex Hospital | Middletown, CT | $2.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.