Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SURGICAL ASSOCIATES OF EASTERN CONNECTICUT LLC

NPI: 1902004765 · MANCHESTER, CT 06040 · Surgery Physician · NPI assigned 07/03/2007

$557.15
Total Medicaid Paid
47
Total Claims
27
Beneficiaries
1
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialRAYNOR, R (OWNER)
NPI Enumeration Date07/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $342.50
2019 19 $214.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47 27 $557.15