Physician
The Pediatric Care Center, LLC
The Pediatric Care Center, LLC was paid $7.82M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoTHE PEDIATRIC CARE CENTER, LLC
BRISTOL, CT 06010
BRISTOL, CT 06010
33aNPI1902357163assigned 10/21/2016
33bProvider typePediatrics Physician
28Total paid$7.82M
24GClaims208,751
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#7 of 162
Median peer was paid$313K
This provider vs. median25×
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 | 28,784 | $906K | |
| 2019 | 31,507 | $1.03M | |
| 2020 | 26,515 | $783K | |
| 2021 | 30,647 | $1.04M | |
| 2022 | 29,662 | $1.23M | |
| 2023 | 29,015 | $1.32M | |
| 2024incomplete | 32,621 | $1.51M |
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 | 28% | 29,344 | 25,801 | $2.20M |
| 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 | 12% | 8,113 | 7,520 | $933K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 6,333 | 5,835 | $735K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 5,980 | 5,540 | $677K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.3% | 16,144 | 15,000 | $651K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 3,767 | 3,575 | $462K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 4,006 | 3,723 | $450K |
| 96127 | 4.4% | 17,961 | 15,610 | $342K | |
| 99177 | 2.6% | 11,369 | 10,722 | $200K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 7,810 | 6,716 | $156K |
| 96160 | 1.7% | 6,601 | 6,148 | $136K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 3,637 | 3,527 | $89K |
77 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 1,992 | $88K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.1% | 3,057 | $88K |
| 96161 | 1.0% | 4,035 | $80K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 471 | $59K |
| 87631 | <1% | 478 | $46K | |
| 36416 | <1% | 15,298 | $46K | |
| 92558 | <1% | 2,173 | $45K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,613 | $44K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 805 | $37K |
| 92551 | <1% | 6,400 | $36K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 537 | $35K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,812 | $27K |
| 99188 | <1% | 870 | $18K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 143 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 701 | $15K |
| 83655 | <1% | 1,347 | $14K | |
| 99383 | <1% | 99 | $13K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 682 | $13K |
| 99384 | <1% | 64 | $10K | |
| 99442 | <1% | 177 | $7K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 69 | $6K |
| 87420 | <1% | 584 | $6K | |
| 99051 | <1% | 661 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 355 | $4K |
| 92587 | <1% | 114 | $4K | |
| 0071A | <1% | 115 | $4K | |
| 80061 | Lipid panel | <1% | 323 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 175 | $3K |
| 94760 | <1% | 2,232 | $3K | |
| 0072A | <1% | 78 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $3K |
| 99382 | <1% | 16 | $2K | |
| 99381 | <1% | 12 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 174 | $1K |
| 90473 | <1% | 41 | $995.99 | |
| 92567 | <1% | 67 | $902.12 | |
| 92552 | <1% | 53 | $664.56 | |
| 99174 | <1% | 173 | $600.00 | |
| 99173 | <1% | 99 | $592.80 | |
| 81000 | <1% | 195 | $524.32 | |
| 81001 | <1% | 137 | $374.48 | |
| 82947 | <1% | 96 | $311.25 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16 | $310.80 |
| 94010 | <1% | 12 | $259.08 | |
| 85018 | <1% | 13,248 | $157.85 | |
| 81025 | <1% | 20 | $114.76 | |
| 86580 | <1% | 16 | $100.16 | |
| 90686 | <1% | 6,031 | $38.73 | |
| 90674 | <1% | 2,120 | $32.29 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 135 | $29.43 |
| J7510 | Prednisolone oral, per 5 mg | <1% | 15 | $28.06 |
| 90671 | <1% | 594 | $0.09 | |
| 90651 | <1% | 1,201 | $0.05 | |
| 90621 | <1% | 89 | $0.02 | |
| 90670 | <1% | 2,401 | $0.01 | |
| 91307 | 0% | 243 | $0.00 | |
| 90680 | 0% | 980 | $0.00 | |
| 90723 | 0% | 527 | $0.00 | |
| 90697 | 0% | 514 | $0.00 | |
| 90619 | 0% | 278 | $0.00 | |
| 90620 | 0% | 175 | $0.00 | |
| 90696 | 0% | 66 | $0.00 | |
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 17 | $0.00 |
| 90698 | 0% | 17 | $0.00 | |
| 90734 | 0% | 480 | $0.00 | |
| 90461 | 0% | 1,831 | $0.00 | |
| 90685 | 0% | 408 | $0.00 | |
| 90648 | 0% | 1,284 | $0.00 | |
| 90710 | 0% | 500 | $0.00 | |
| 90715 | 0% | 214 | $0.00 | |
| 90633 | 0% | 932 | $0.00 | |
| 90661 | 0% | 580 | $0.00 | |
| 81003 | 0% | 55 | $0.00 | |
| 90700 | 0% | 66 | $0.00 | |
| 90681 | 0% | 25 | $0.00 | |
| 90672 | 0% | 45 | $0.00 | |
| 91300 | 0% | 13 | $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 officialADEYINKA, SUSAN (OWNER)