Physician
Healthwise Medical Associates, LLP
Healthwise Medical Associates, LLP was paid $1.12M by Medicaid between Jan 2018 and Sep 2018, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoHEALTHWISE MEDICAL ASSOCIATES, LLP
VERNON, CT 06066
VERNON, CT 06066
33aNPI1891749933assigned 05/22/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.12M
24GClaims23,685
24DCodes billed39
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Internal Medicine Physician providers in Connecticut
Rank by total paid#21 of 295
Median peer was paid$35K
This provider vs. median32×
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 | 23,685 | $1.12M |
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 | 44% | 6,246 | 5,489 | $494K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 4,851 | 4,408 | $315K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 549 | 520 | $64K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.4% | 1,344 | 1,242 | $49K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 392 | 387 | $48K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 346 | 327 | $40K |
| 96127 | 1.7% | 943 | 839 | $19K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 849 | 793 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 121 | 113 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 463 | 448 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 882 | 817 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 613 | 544 | $8K |
27 more codes
| 99174 | <1% | 390 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 304 | $6K |
| 99188 | <1% | 135 | $3K | |
| 92551 | <1% | 476 | $3K | |
| 36416 | <1% | 714 | $2K | |
| 94760 | <1% | 1,022 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 41 | $781.20 |
| 87070 | <1% | 150 | $601.92 | |
| 83655 | <1% | 50 | $520.20 | |
| 99051 | <1% | 104 | $414.56 | |
| 87807 | <1% | 17 | $194.65 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 42 | $172.38 |
| 85018 | <1% | 425 | $81.36 | |
| 90686 | <1% | 201 | $38.82 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | $38.17 |
| 82962 | <1% | 12 | $18.18 | |
| 90461 | 0% | 636 | $0.00 | |
| 90670 | 0% | 183 | $0.00 | |
| 90710 | 0% | 26 | $0.00 | |
| 81002 | 0% | 53 | $0.00 | |
| 90633 | 0% | 44 | $0.00 | |
| 90685 | 0% | 20 | $0.00 | |
| 99000 | 0% | 881 | $0.00 | |
| 90680 | 0% | 24 | $0.00 | |
| 90698 | 0% | 24 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 69 | $0.00 |
| 90651 | 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 officialIRVIN, RENEE (CEO)