Physician
Clinisanitas, PC
Clinisanitas, PC was paid $289K by Medicaid between Jan 2018 and Jan 2019, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoCLINISANITAS, PC
ORANGE, CT 06477
ORANGE, CT 06477
33aNPI1821476540assigned 05/14/2015
33bProvider typeFamily Medicine Physician
28Total paid$289K
24GClaims8,877
24DCodes billed25
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Family Medicine Physician providers in Connecticut
Rank by total paid#29 of 139
Median peer was paid$35K
This provider vs. median8.2×
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 | 8,572 | $271K | |
| 2019 | 305 | $19K |
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 | 48% | 3,154 | 2,124 | $138K |
| 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 | 38% | 1,664 | 1,114 | $111K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.8% | 408 | 296 | $20K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 1,641 | 1,194 | $4K |
| 99385 | 1.2% | 61 | 26 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 44 | 28 | $3K |
| 90756 | <1% | 145 | 124 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 489 | 373 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 130 | 101 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 19 | 16 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 113 | 68 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 23 | 18 | $1K |
13 more codes
| 98927 | <1% | 51 | $307.41 | |
| 92551 | <1% | 143 | $305.11 | |
| 90715 | <1% | 31 | $278.64 | |
| 99173 | <1% | 140 | $277.11 | |
| 90686 | <1% | 56 | $272.12 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 23 | $116.55 |
| 98928 | <1% | 23 | $72.74 | |
| 90688 | <1% | 43 | $53.54 | |
| 36416 | <1% | 94 | $38.30 | |
| 85018 | <1% | 131 | $6.78 | |
| 4037F | 0% | 170 | $0.00 | |
| 2010F | 0% | 56 | $0.00 | |
| 90461 | 0% | 25 | $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 officialFONSECA, FERNANDO (CEO)
| Provider | Location | Paid |
|---|---|---|
| Clinisanitas, PC | Orange, CT | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.