Black Rock Pediatrics

Black Rock Pediatrics was paid $153K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoBLACK ROCK PEDIATRICS
FAIRFIELD, CT 06825

33aNPI1760629232assigned 01/20/2009

33bProvider typePediatrics Physician

28Total paid$153K

24GClaims4,753

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Connecticut

Rank by total paid#99 of 162

Median peer was paid$313K

This provider vs. median0.5×

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	789	$40K
2019	897	$33K
2020	764	$16K
2021	625	$10K
2022	418	$17K
2023	618	$19K
2024incomplete	642	$20K

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	77%	1,693	1,516	$119K
90460	Immunization administration through 18 years of age via any route, first or only component	15%	1,055	967	$23K
99174		4.1%	365	334	$6K
92551		1.4%	367	340	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	13	13	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	57	53	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	12	12	$205.48
90686		<1%	478	453	$124.15
88738		<1%	404	370	$14.37
81002		<1%	309	284	$4.88

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 officialCOHEN, ELIN (PRESIDENT)