PRIMARY CARE PHYSICIANS OF STRATFORD, LLC
NPI: 1902279607
· STRATFORD, CT 06614
· Pediatrics Physician
· NPI assigned 11/04/2015
$112K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLEY, CHRISTOPHER (EXECUTIVE DIRECTOR) |
| Parent Organization | ST.VINCENTS MULTISPECIALTY GROUP |
| NPI Enumeration Date | 11/04/2015 |
Related Entities
Other providers sharing the same authorized official: WILLEY, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,439 |
$88K |
| 2019 |
308 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
931 |
856 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
491 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
58 |
$7K |
| 96127 |
|
111 |
103 |
$840.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$430.22 |
| 90656 |
|
24 |
16 |
$231.00 |
| 90686 |
|
15 |
13 |
$152.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
31 |
$23.65 |