Physician
CT Valley Pediatric Center, INC
CT Valley Pediatric Center, INC was paid $1.44M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoCT VALLEY PEDIATRIC CENTER, INC
WINDSOR, CT 06095
WINDSOR, CT 06095
33aNPI1760706444assigned 03/24/2010
33bProvider typePediatrics Physician
28Total paid$1.44M
24GClaims31,799
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#46 of 162
Median peer was paid$313K
This provider vs. median4.6×
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 | 5,821 | $216K | |
| 2019 | 5,173 | $211K | |
| 2020 | 3,765 | $175K | |
| 2021 | 4,399 | $212K | |
| 2022 | 5,263 | $245K | |
| 2023 | 4,306 | $209K | |
| 2024incomplete | 3,072 | $173K |
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 | 23% | 4,883 | 4,130 | $337K |
| 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 | 19% | 2,744 | 2,333 | $280K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 4,992 | 4,579 | $172K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 1,425 | 1,338 | $151K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 1,095 | 1,041 | $132K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.1% | 1,180 | 1,102 | $131K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 772 | 698 | $78K |
| 96127 | 4.1% | 3,188 | 2,934 | $60K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 874 | 792 | $36K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 1,175 | 1,071 | $26K |
| 99173 | <1% | 2,030 | 1,863 | $13K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 688 | 637 | $8K |
26 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 305 | $7K |
| 90651 | <1% | 217 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 221 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 77 | $1K |
| 90686 | <1% | 2,129 | $1K | |
| 99188 | <1% | 16 | $273.60 | |
| 92552 | <1% | 21 | $166.14 | |
| 90674 | <1% | 244 | $60.00 | |
| 90677 | <1% | 60 | $0.01 | |
| 81002 | 0% | 949 | $0.00 | |
| 90633 | 0% | 38 | $0.00 | |
| 90670 | 0% | 281 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 210 | $0.00 |
| 90661 | 0% | 97 | $0.00 | |
| 90685 | 0% | 62 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 94 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 242 | $0.00 |
| 90734 | 0% | 51 | $0.00 | |
| 90671 | 0% | 41 | $0.00 | |
| 90698 | 0% | 159 | $0.00 | |
| 85018 | 0% | 48 | $0.00 | |
| G8708 | Patient not prescribed antibiotic | 0% | 1,120 | $0.00 |
| 1036F | 0% | 14 | $0.00 | |
| 90619 | 0% | 29 | $0.00 | |
| 90744 | 0% | 13 | $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 officialMATHEWS, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Arkansas Gastroenterology Endoscopy Center | Hot Springs, AR | $52K |
| The Surgeons' Group, PC | Birmingham, AL | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.