Proactive Health Care Management,llc

Proactive Health Care Management,llc was paid $462K by Medicaid between May 2022 and Dec 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 94% of everything it billed.

33Billing provider infoPROACTIVE HEALTH CARE MANAGEMENT,LLC
MILFORD, CT 06460

33aNPI1811641145assigned 02/06/2022

33bProvider typeAdult Health Nurse Practitioner

28Total paid$462K

24GClaims28,466

24DCodes billed7

24AFirst – last monthMay 2022 – Dec 2024

Compared with peers

Next to other Adult Health Nurse Practitioner providers in Connecticut

Rank by total paid#4 of 23

Median peer was paid$35K

This provider vs. median13×

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
2022	4,428	$80K
2023	10,963	$182K
2024incomplete	13,075	$200K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	94%	26,385	9,244	$432K
99310	Prolong nursin fac eval 15m	3.5%	712	492	$16K
99308	Subsequent nursing facility care, per day, straightforward	2.4%	929	589	$11K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes)	<1%	313	243	$1K
99316		<1%	77	68	$1K
99358	Prolong nursin fac eval 15m	0%	36	35	$0.00
99356		0%	14	14	$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 officialGRAY, ANI (OWNER)