Physician
Sydney Z Spiesel PHD MD LLC
Sydney Z Spiesel PHD MD LLC was paid $1.16M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoSYDNEY Z SPIESEL PHD MD LLC
WOODBRIDGE, CT 06525
WOODBRIDGE, CT 06525
33aNPI1790959146assigned 04/16/2008
33bProvider typePediatrics Physician
28Total paid$1.16M
24GClaims28,161
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#52 of 162
Median peer was paid$313K
This provider vs. median3.7×
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 | 1,598 | $70K | |
| 2019 | 2,122 | $95K | |
| 2020 | 2,664 | $117K | |
| 2021 | 4,859 | $180K | |
| 2022 | 5,365 | $222K | |
| 2023 | 5,524 | $231K | |
| 2024incomplete | 6,029 | $241K |
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 | 35% | 6,166 | 4,916 | $409K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 21% | 3,677 | 3,293 | $245K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.4% | 2,727 | 2,314 | $108K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 959 | 885 | $94K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 733 | 655 | $67K |
| 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 | 5.6% | 640 | 576 | $65K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 505 | 475 | $51K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.3% | 3,448 | 2,772 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 238 | 231 | $27K |
| 99173 | 1.0% | 1,778 | 1,622 | $12K | |
| 96127 | <1% | 449 | 415 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 462 | 422 | $5K |
28 more codes
| 36416 | <1% | 1,293 | $4K | |
| 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% | 55 | $4K |
| 92567 | <1% | 324 | $3K | |
| 87081 | <1% | 387 | $2K | |
| 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% | 53 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 105 | $1K |
| 94760 | <1% | 250 | $356.90 | |
| 90651 | <1% | 26 | $227.18 | |
| 90686 | <1% | 1,409 | $155.08 | |
| 85018 | <1% | 1,293 | $24.86 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 22 | $20.89 |
| 90685 | <1% | 60 | $0.10 | |
| 90715 | <1% | 14 | $0.01 | |
| 90671 | 0% | 128 | $0.00 | |
| 90633 | 0% | 58 | $0.00 | |
| 90672 | 0% | 91 | $0.00 | |
| 90670 | 0% | 315 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 58 | $0.00 |
| 90710 | 0% | 31 | $0.00 | |
| 81002 | 0% | 14 | $0.00 | |
| 90680 | 0% | 27 | $0.00 | |
| 90697 | 0% | 27 | $0.00 | |
| 90647 | 0% | 110 | $0.00 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 177 | $0.00 |
| 90619 | 0% | 16 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 12 | $0.00 |
| 90723 | 0% | 12 | $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 officialSPIESEL, SYDNEY (PRESIDENT)