Physician
Middlesex Hospital
Middlesex Hospital was paid $2.70M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoMIDDLESEX HOSPITAL
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
33aNPI1851350664assigned 03/21/2006
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$2.70M
24GClaims51,728
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
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 | 7,610 | $422K | |
| 2019 | 7,943 | $393K | |
| 2020 | 7,387 | $331K | |
| 2021 | 7,324 | $385K | |
| 2022 | 7,609 | $389K | |
| 2023 | 7,422 | $411K | |
| 2024incomplete | 6,433 | $373K |
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 | 59% | 29,938 | 27,031 | $1.60M |
| 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 | 34% | 12,533 | 11,061 | $908K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 1,651 | 1,590 | $69K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 171 | 160 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 147 | 144 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,593 | 1,410 | $17K |
| 90686 | <1% | 2,653 | 2,458 | $13K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 74 | 66 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 44 | 40 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 369 | 155 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 166 | 156 | $4K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 64 | 42 | $3K |
32 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 136 | $3K |
| 98927 | <1% | 110 | $3K | |
| 96127 | <1% | 125 | $2K | |
| 99252 | <1% | 51 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 53 | $2K |
| 0054A | <1% | 94 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 97 | $1K |
| 91322 | <1% | 28 | $1K | |
| 90480 | <1% | 67 | $1K | |
| 96161 | <1% | 120 | $1K | |
| 0124A | <1% | 56 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 28 | $1K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $1K |
| 99251 | <1% | 28 | $581.44 | |
| 0001A | <1% | 13 | $520.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 51 | $474.26 |
| 99462 | <1% | 16 | $373.06 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 13 | $348.48 |
| 90682 | <1% | 12 | $320.22 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 302 | $225.40 |
| 90656 | <1% | 117 | $111.75 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 26 | $86.75 |
| 81003 | <1% | 40 | $72.76 | |
| G0008 | Administration of influenza virus vaccine | 0% | 40 | $0.00 |
| 91305 | 0% | 169 | $0.00 | |
| 85018 | 0% | 25 | $0.00 | |
| 90698 | 0% | 25 | $0.00 | |
| 90461 | 0% | 228 | $0.00 | |
| 91300 | 0% | 133 | $0.00 | |
| 91312 | 0% | 53 | $0.00 | |
| 90670 | 0% | 43 | $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 officialCAPECE, VINCENT (CEO)
Parent organizationMIDDLESEX HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Middlesex Hospital | Middletown, CT | $116.08M |
| Middlesex Hospital | Middletown, CT | $7.45M |
| Middlesex Hospital | Middletown, CT | $2.02M |
| Middlesex Hospital | Middletown, CT | $700K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.