Physician
T.L.C. Pediatrics, LLC
T.L.C. Pediatrics, LLC was paid $7.61M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoT.L.C. PEDIATRICS, LLC
NORWALK, CT 06850
NORWALK, CT 06850
33aNPI1801073176assigned 01/29/2008
33bProvider typePediatrics Physician
28Total paid$7.61M
24GClaims296,407
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#8 of 162
Median peer was paid$313K
This provider vs. median24×
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 | 23,947 | $863K | |
| 2019 | 101,901 | $906K | |
| 2020 | 51,926 | $1.00M | |
| 2021 | 29,258 | $1.00M | |
| 2022 | 31,584 | $1.36M | |
| 2023 | 31,050 | $1.28M | |
| 2024incomplete | 26,741 | $1.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 33,516 | 17,568 | $2.52M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 30,852 | 14,847 | $1.38M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 5,897 | 3,355 | $495K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 37,827 | 10,451 | $407K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 4,021 | 2,743 | $369K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 4.8% | 2,835 | 2,705 | $364K |
| 96160 | 3.7% | 17,404 | 10,921 | $282K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 2,662 | 1,877 | $257K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 1,882 | 1,257 | $230K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 3,123 | 1,768 | $227K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 14,228 | 8,630 | $194K |
| 99174 | 2.2% | 13,471 | 8,611 | $165K |
56 more codes
| 96127 | 1.9% | 9,699 | $147K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 2,045 | $96K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,410 | $82K |
| 99188 | <1% | 5,349 | $61K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,702 | $52K |
| 92551 | <1% | 9,843 | $40K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,485 | $26K |
| 92587 | <1% | 1,462 | $22K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,095 | $22K |
| 94664 | <1% | 4,307 | $19K | |
| 94760 | <1% | 15,816 | $19K | |
| 99070 | <1% | 1,736 | $17K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 156 | $16K |
| 96161 | <1% | 1,654 | $16K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 827 | $15K |
| D1206 | Topical application of fluoride varnish | <1% | 1,045 | $15K |
| 87430 | <1% | 2,992 | $12K | |
| 69210 | <1% | 929 | $8K | |
| 36416 | <1% | 3,030 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 244 | $6K |
| 99442 | <1% | 148 | $6K | |
| 90691 | <1% | 64 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,187 | $4K |
| 83655 | <1% | 160 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 36 | $1K |
| 0112A | <1% | 18 | $720.00 | |
| 0111A | <1% | 18 | $720.00 | |
| 90715 | <1% | 134 | $153.24 | |
| 36410 | <1% | 19 | $149.11 | |
| 87070 | <1% | 1,501 | $136.80 | |
| 80061 | Lipid panel | <1% | 190 | $25.58 |
| 81002 | <1% | 959 | $12.20 | |
| 85018 | <1% | 2,832 | $6.78 | |
| 90677 | <1% | 107 | $5.30 | |
| 90710 | <1% | 1,003 | $0.10 | |
| 90686 | <1% | 13,436 | $0.10 | |
| 90674 | <1% | 733 | $0.10 | |
| 99072 | 0% | 3,004 | $0.00 | |
| 90633 | 0% | 897 | $0.00 | |
| 90461 | 0% | 7,213 | $0.00 | |
| 90734 | 0% | 370 | $0.00 | |
| 90670 | 0% | 2,336 | $0.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 1,215 | $0.00 |
| 90648 | 0% | 2,584 | $0.00 | |
| 91311 | 0% | 61 | $0.00 | |
| 90681 | 0% | 662 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 593 | $0.00 |
| 90723 | 0% | 1,485 | $0.00 | |
| 99000 | 0% | 12,470 | $0.00 | |
| 90651 | 0% | 482 | $0.00 | |
| 90620 | 0% | 120 | $0.00 | |
| 90619 | 0% | 32 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 18 | $0.00 |
| 99441 | 0% | 22 | $0.00 | |
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 572 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 182 | $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 officialJORQUERA, PATRICIA (PEDIATRICIAN/CO-OWNER)