Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Middlesex Hospital

Middlesex Hospital was paid $116.08M by Medicaid between Jan 2018 and Dec 2024, across 506 billing codes. Its largest line is 99285, emergency room visit (most serious) — 20% of everything it billed.

33Billing provider infoMIDDLESEX HOSPITAL
MIDDLETOWN, CT 06457
33aNPI1760454334assigned 02/07/2006
28Total paid$116.08M
24GClaims2,850,102
24DCodes billed506
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Care Clinic/Center providers in Connecticut

Rank by total paid#2 of 6
Median peer was paid$80.66M
This provider vs. median1.4×

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

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
2018368,860$16.05M
2019378,557$17.11M
2020380,679$13.48M
2021473,528$17.34M
2022434,309$17.58M
2023451,771$18.19M
2024incomplete362,398$16.31M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 20% 54,416 42,450 $23.65M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 51,112 42,412 $12.84M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 67,461 57,724 $12.62M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.5% 93,711 26,966 $5.23M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.1% 36,926 29,934 $4.79M
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 3.2% 14,530 2,551 $3.66M
S9480 Intensive outpatient psychiatric services, per diem 2.2% 24,109 4,083 $2.56M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 2.1% 35,020 18,132 $2.49M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.9% 12,882 10,927 $2.20M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.3% 2,880 2,448 $1.49M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1.3% 26,078 21,546 $1.46M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 1.3% 11,519 2,477 $1.45M
494 more codes
70450 Computed tomography, head or brain; without contrast material 1.2% 15,775 $1.39M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.2% 11,387 $1.37M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.2% 12,361 $1.36M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.2% 28,916 $1.35M
96361 Intravenous infusion, hydration; each additional hour 1.1% 30,575 $1.28M
71046 Radiologic examination, chest; 2 views 1.1% 27,177 $1.26M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 11,575 $1.23M
99213 Doctor's office visit, returning patient (routine) 1.0% 21,831 $1.19M
J0585 Injection, onabotulinumtoxina, 1 unit <1% 2,794 $1.01M
77067 Screening mammography, bilateral, including computer-aided detection <1% 10,290 $1.01M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 55,358 $1.00M
90791 Psychiatric diagnostic evaluation <1% 10,580 $978K
96375 Therapeutic injection; each additional sequential IV push <1% 26,003 $975K
99214 Doctor's office visit, returning patient (more involved) <1% 10,441 $920K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,161 $739K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,288 $727K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 6,257 $719K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,925 $708K
71045 Radiologic examination, chest; single view <1% 14,470 $601K
97161 <1% 10,801 $537K
76641 <1% 6,267 $490K
93975 <1% 2,499 $473K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 5,397 $423K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,032 $404K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 22,064 $398K
97035 <1% 5,886 $397K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 808 $388K
0240U <1% 3,556 $387K
90853 Group psychotherapy (other than of a multiple-family group) <1% 23,059 $386K
71275 Computed tomographic angiography, chest, with contrast material <1% 3,436 $385K
80053 Comprehensive metabolic panel <1% 103,914 $353K
90832 Psychotherapy session, about 30 minutes <1% 7,175 $348K
88342 <1% 5,350 $345K
H0035 Mental health partial hospitalization, treatment, less than 24 hours <1% 1,913 $345K
84443 Thyroid stimulating hormone (TSH) <1% 36,318 $339K
86900 <1% 10,572 $335K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,574 $329K
77065 Tomosynthesis, mammo <1% 3,681 $327K
80061 Lipid panel <1% 38,635 $312K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 12,015 $306K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 11,974 $305K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,842 $302K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 22,573 $297K
90792 Psychiatric diagnostic evaluation with medical services <1% 2,805 $288K
77066 Tomosynthesis, mammo <1% 2,861 $280K
99215 Doctor's office visit, returning patient (complex) <1% 2,396 $277K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 149,525 $274K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 3,110 $273K
76830 Ultrasound, transvaginal <1% 2,897 $266K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 15,712 $259K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 12,905 $251K
94060 <1% 1,632 $248K
97165 <1% 4,404 $240K
71250 <1% 4,920 $235K
93971 <1% 4,117 $234K
74183 <1% 1,259 $226K
76536 <1% 3,486 $221K
76642 <1% 4,092 $212K
97162 <1% 5,093 $206K
97535 Self-care/home management training, each 15 minutes <1% 13,139 $203K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 572 $203K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,850 $196K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 2,419 $195K
72141 <1% 1,094 $182K
59025 Fetal non-stress test <1% 1,312 $179K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,962 $176K
70496 <1% 1,160 $161K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,974 $156K
64615 <1% 954 $146K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 7,234 $146K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 5,052 $137K
90847 Family psychotherapy with the patient present, 50 minutes <1% 1,457 $137K
77063 Screening digital breast tomosynthesis, bilateral <1% 10,274 $134K
76801 <1% 1,404 $134K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,411 $130K
36415 Collection of venous blood by venipuncture <1% 172,780 $128K
90837 Psychotherapy session, about an hour <1% 1,433 $127K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 5,202 $126K
78815 Positron emission tomography (PET) for limited area imaging <1% 238 $122K
95811 <1% 184 $115K
83036 Hemoglobin; glycosylated (A1C) <1% 23,237 $113K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,724 $111K
76770 <1% 1,957 $107K
73221 <1% 684 $106K
29515 <1% 864 $104K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,675 $103K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,682 $100K
97014 <1% 1,246 $99K
77080 <1% 1,271 $98K
72110 <1% 1,606 $96K
73564 <1% 1,475 $96K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 7,168 $93K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 6,858 $93K
97113 <1% 1,515 $92K
71271 <1% 1,004 $89K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 45,329 $83K
82607 <1% 11,117 $83K
95819 <1% 642 $79K
87660 <1% 4,748 $77K
87510 <1% 4,748 $77K
87480 <1% 4,748 $77K
86803 <1% 8,455 $75K
86618 <1% 6,579 $74K
93970 <1% 705 $73K
82728 <1% 11,130 $73K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 991 $73K
0001A <1% 2,380 $72K
0002A <1% 2,033 $72K
72125 Computed tomography, cervical spine; without contrast material <1% 6,159 $67K
86780 <1% 6,242 $65K
29505 <1% 606 $65K
72100 <1% 3,022 $64K
73030 <1% 4,731 $62K
84439 <1% 12,861 $60K
87086 Culture, bacterial; quantitative colony count, urine <1% 20,464 $59K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 284 $57K
97116 <1% 4,037 $56K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,247 $54K
90846 Family psychotherapy without the patient present, 50 minutes <1% 534 $53K
73630 <1% 4,906 $52K
74019 <1% 1,547 $50K
83970 <1% 2,708 $47K
73502 <1% 3,525 $45K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 3,921 $44K
86480 <1% 1,192 $44K
87070 <1% 13,140 $43K
80048 Basic metabolic panel (calcium, ionized) <1% 47,616 $43K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 15,975 $41K
95911 <1% 107 $41K
73610 <1% 4,507 $40K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 3,164 $39K
82746 <1% 5,745 $38K
82947 <1% 20,398 $38K
70491 <1% 240 $37K
84403 <1% 1,957 $37K
77336 <1% 829 $36K
70486 <1% 1,441 $36K
10061 <1% 126 $35K
96367 <1% 1,324 $35K
73130 <1% 3,712 $34K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 5,754 $29K
73110 <1% 3,035 $29K
72070 <1% 747 $28K
83540 <1% 8,970 $28K
86038 <1% 3,939 $27K
77062 <1% 2,374 $27K
86235 <1% 697 $27K
77061 <1% 2,447 $27K
83550 <1% 6,737 $27K
73562 <1% 4,380 $27K
G2083 Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, includes 2 hours post-administration observation <1% 35 $25K
86617 <1% 2,007 $25K
82784 <1% 3,566 $25K
87186 <1% 8,709 $25K
74018 <1% 1,226 $25K
93880 <1% 327 $25K
87340 <1% 4,987 $25K
76775 <1% 563 $24K
72052 <1% 318 $24K
10060 <1% 148 $23K
87077 <1% 8,190 $23K
77334 <1% 67 $22K
86753 <1% 1,907 $21K
73140 <1% 2,204 $21K
73700 <1% 469 $20K
86140 <1% 9,475 $20K
86666 <1% 2,426 $19K
84146 <1% 1,414 $19K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 305 $18K
83735 <1% 21,661 $18K
98968 <1% 354 $17K
98967 <1% 460 $17K
86200 <1% 2,339 $17K
96137 <1% 180 $17K
19083 <1% 33 $17K
72040 <1% 963 $16K
95806 <1% 166 $16K
84702 <1% 3,466 $16K
84480 <1% 1,656 $15K
72197 <1% 60 $15K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 160 $15K
82043 <1% 5,233 $14K
92610 <1% 398 $14K
73080 <1% 1,685 $14K
71101 <1% 924 $14K
83516 <1% 1,624 $13K
87147 <1% 5,223 $13K
80076 <1% 5,563 $13K
84425 <1% 922 $13K
97166 <1% 345 $12K
74246 <1% 85 $12K
87081 <1% 3,243 $12K
87631 <1% 133 $12K
85027 <1% 4,328 $12K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 53 $11K
76882 <1% 247 $11K
83655 <1% 1,035 $11K
80164 <1% 2,058 $11K
70498 <1% 1,061 $11K
85652 <1% 8,766 $10K
82570 <1% 5,271 $10K
92523 <1% 68 $10K
86376 <1% 1,216 $10K
96131 <1% 51 $10K
88304 <1% 1,653 $10K
86430 <1% 3,219 $9K
83690 <1% 26,574 $9K
97010 <1% 131 $9K
88307 <1% 404 $9K
G0378 Hospital observation service, per hour <1% 28,885 $9K
84481 <1% 968 $9K
81001 <1% 26,486 $8K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 399 $8K
86706 <1% 1,248 $8K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 158 $8K
83880 <1% 4,981 $8K
80074 <1% 257 $8K
85610 <1% 24,048 $8K
87625 <1% 272 $8K
86800 <1% 782 $7K
83001 <1% 545 $7K
87899 <1% 881 $7K
84165 <1% 1,822 $7K
93308 <1% 59 $7K
84550 <1% 4,977 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 148 $7K
96130 <1% 101 $7K
82105 <1% 655 $7K
93798 <1% 73 $6K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 18 $6K
72131 <1% 114 $6K
84402 <1% 329 $6K
86762 <1% 1,814 $6K
87522 Neg quan hep c or qual rna <1% 215 $6K
86364 <1% 693 $6K
73560 <1% 522 $6K
86769 <1% 189 $6K
74220 <1% 55 $6K
82550 <1% 3,546 $5K
86334 <1% 698 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 44 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 24 $5K
73590 <1% 840 $5K
P9016 Red blood cells, leukocytes reduced, each unit <1% 92 $5K
82950 <1% 1,273 $5K
99406 <1% 1,008 $5K
83615 <1% 2,699 $5K
85730 <1% 5,432 $5K
87046 <1% 765 $5K
86039 <1% 684 $5K
81003 <1% 17,389 $4K
81025 <1% 8,869 $4K
80178 <1% 1,283 $4K
36430 <1% 75 $4K
87205 <1% 3,976 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 137 $4K
82565 <1% 4,961 $4K
82248 <1% 2,046 $4K
83721 <1% 802 $4K
74021 <1% 79 $4K
82247 <1% 3,518 $4K
74230 <1% 63 $4K
84100 <1% 6,060 $4K
96136 <1% 115 $3K
86787 <1% 419 $3K
87045 <1% 765 $3K
87209 <1% 447 $3K
84153 <1% 391 $3K
86225 <1% 388 $3K
84450 <1% 3,746 $3K
82533 <1% 282 $3K
83002 <1% 213 $3K
83520 <1% 379 $3K
87493 <1% 216 $3K
0004A <1% 81 $3K
73660 <1% 291 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 10,973 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 28 $2K
84703 <1% 15,315 $2K
0012A <1% 96 $2K
95910 <1% 17 $2K
99442 <1% 321 $2K
82670 <1% 97 $2K
0064A <1% 57 $2K
87177 <1% 447 $2K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge <1% 1,468 $2K
84156 <1% 1,885 $2K
25600 <1% 17 $2K
87015 <1% 647 $2K
87075 <1% 1,344 $2K
84630 <1% 279 $2K
82150 <1% 515 $2K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 1,895 $2K
84590 <1% 253 $2K
0011A <1% 252 $2K
87469 <1% 92 $2K
74247 <1% 12 $2K
82040 <1% 3,064 $2K
83525 <1% 185 $2K
73090 <1% 268 $2K
82525 <1% 211 $2K
92611 <1% 49 $2K
82140 <1% 772 $2K
86160 <1% 150 $2K
82310 <1% 3,002 $1K
0071A <1% 38 $1K
87400 <1% 2,140 $1K
85014 <1% 2,016 $1K
85379 <1% 5,348 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 23,233 $1K
80050 General health panel <1% 1,569 $1K
J3490 Unclassified drugs <1% 60,140 $1K
0072A <1% 30 $1K
73521 <1% 40 $1K
85018 <1% 2,310 $1K
90839 <1% 1,702 $1K
86255 <1% 175 $1K
84484 <1% 26,797 $1K
80051 <1% 842 $985.71
86850 <1% 7,347 $942.60
84134 <1% 243 $904.80
73120 <1% 28 $833.37
86003 <1% 14 $811.74
C9399 Unclassified drugs or biologicals <1% 519 $808.03
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 1,072 $753.00
86765 <1% 70 $750.91
12001 <1% 1,918 $750.57
86735 <1% 69 $747.60
86308 <1% 496 $714.06
83883 <1% 69 $661.98
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 951 $650.00
84436 <1% 221 $644.26
87207 <1% 710 $624.00
87040 <1% 7,824 $566.99
84155 <1% 1,796 $563.03
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,456 $549.13
87427 <1% 58 $547.84
86923 <1% 33 $519.72
70544 <1% 27 $517.83
82378 <1% 41 $507.36
80159 <1% 28 $459.16
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,834 $450.71
Q3014 Telehealth originating site facility fee <1% 28 $360.52
86705 <1% 82 $360.00
84075 <1% 2,739 $356.42
84460 <1% 3,858 $355.22
82627 <1% 26 $318.45
84112 <1% 18 $307.60
96376 <1% 10,470 $305.71
83993 <1% 17 $300.00
12002 <1% 797 $296.95
99443 <1% 60 $285.58
82977 <1% 93 $277.76
J7030 Infusion, normal saline solution , 1000 cc <1% 40,768 $275.63
J1650 Injection, enoxaparin sodium, 10 mg <1% 5,724 $263.04
86696 <1% 12 $258.72
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 26,204 $256.01
84520 <1% 2,790 $254.07
83605 <1% 8,837 $232.49
74175 <1% 24 $223.92
90714 <1% 3,347 $217.87
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 521 $216.54
83521 <1% 15 $197.76
85045 <1% 135 $194.82
82747 <1% 16 $181.94
86304 <1% 17 $178.83
86695 <1% 12 $176.40
87338 <1% 12 $151.03
87449 <1% 19 $148.85
86704 <1% 14 $138.12
84132 <1% 267 $132.56
72170 <1% 41 $122.61
0054A <1% 33 $120.00
86141 <1% 13 $111.24
82010 <1% 1,173 $101.40
84295 <1% 2,620 $98.76
82803 <1% 1,348 $94.62
87807 <1% 82 $93.25
88300 <1% 14 $77.61
80175 <1% 12 $75.96
88313 <1% 1,647 $73.89
88173 <1% 61 $55.57
80177 <1% 16 $50.64
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,567 $47.24
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting <1% 69 $47.00
88108 <1% 157 $44.46
29125 <1% 850 $41.58
82800 <1% 133 $40.40
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) <1% 1,685 $39.30
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 5,086 $37.42
C1769 Guide wire <1% 831 $37.02
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 20,395 $30.80
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 3,931 $26.80
J1170 Injection, hydromorphone, up to 4 mg <1% 9,923 $26.39
82435 <1% 2,096 $26.30
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,074 $22.98
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 6,639 $22.97
86901 <1% 10,580 $21.63
J2270 Injection, morphine sulfate, up to 10 mg <1% 6,624 $17.40
A9270 Non-covered item or service <1% 6,956 $16.67
J7050 Infusion, normal saline solution, 250 cc <1% 24,797 $15.74
85049 <1% 60 $14.96
J1815 Injection, insulin, per 5 units <1% 4,903 $14.82
86703 <1% 555 $13.71
84145 <1% 203 $12.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 7,245 $12.30
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 2,053 $12.13
82374 <1% 2,082 $12.01
87210 <1% 17 $11.70
J2060 Injection, lorazepam, 2 mg <1% 5,457 $9.36
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,830 $8.89
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 721 $8.16
J3360 Injection, diazepam, up to 5 mg <1% 1,045 $8.01
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 15 $8.00
J0690 Injection, cefazolin sodium, 500 mg <1% 8,092 $7.74
J1644 Injection, heparin sodium, per 1000 units <1% 6,170 $7.54
J7120 Ringers lactate infusion, up to 1000 cc <1% 15,973 $6.87
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,762 $6.11
J3010 Injection, fentanyl citrate, 0.1 mg <1% 11,870 $5.25
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 9,589 $4.97
89050 <1% 16 $4.52
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 711 $3.89
94727 <1% 1,462 $2.64
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 2,148 $2.40
94729 <1% 1,484 $1.97
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 7,853 $1.94
J1940 Injection, furosemide, up to 20 mg <1% 671 $1.32
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 9,185 $0.02
88341 0% 1,966 $0.00
J2704 Injection, propofol, 10 mg 0% 11,589 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 3,726 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 1,827 $0.00
95886 0% 1,600 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 4,051 $0.00
A4648 Tissue marker, implantable, any type, each 0% 348 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 576 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 0% 377 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 488 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 731 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 417 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 630 $0.00
99153 Mod sedat endo service >5yrs 0% 168 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 214 $0.00
91301 0% 308 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 0% 18 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 411 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 461 $0.00
0204U 0% 64 $0.00
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 0% 134 $0.00
36410 0% 292 $0.00
36000 0% 49 $0.00
91305 0% 64 $0.00
91306 0% 24 $0.00
29130 0% 13 $0.00
91307 0% 69 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 25 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 110 $0.00
J0456 Injection, azithromycin, 500 mg 0% 95 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 15 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 0% 17 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 0% 16 $0.00
73060 0% 15 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 2,496 $0.00
91300 0% 4,396 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 302 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 0% 201 $0.00
12011 0% 756 $0.00
99152 0% 727 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 2,820 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 523 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 0% 50 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 371 $0.00
76937 0% 114 $0.00
76376 0% 66 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 16 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 0% 628 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 1,973 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 0% 20 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 315 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 1,746 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 0% 1,346 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 158 $0.00
51701 0% 579 $0.00
85520 0% 70 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 0% 60 $0.00
76942 0% 26 $0.00
51702 0% 15 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 19 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 220 $0.00
C1758 Catheter, ureteral 0% 63 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 14 $0.00
J7510 Prednisolone oral, per 5 mg 0% 36 $0.00
76000 0% 61 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 15 $0.00

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 PRESIDENT)
Same official

Other billing entities under CAPECE, VINCENT

Full network →
ProviderLocationPaid
Middlesex HospitalMiddletown, CT$7.45M
Middlesex HospitalMiddletown, CT$2.70M
Middlesex HospitalMiddletown, CT$2.02M
Middlesex HospitalMiddletown, CT$700K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.