INTERNAL MEDICINE OF GREATER NEW HAVEN HR LLC

NPI: 1912507450 · HAMDEN, CT 06517 · Internal Medicine Physician · NPI assigned 10/26/2020

$153K

Total Medicaid Paid

3,298

Total Claims

2,727

Beneficiaries

Codes Billed

2021-01

First Month

2022-04

Last Month

Provider Details

Authorized Official	CHUSTECKA, MARGARET (OWNER/MANAGING)
NPI Enumeration Date	10/26/2020

Other providers sharing the same authorized official: CHUSTECKA, MARGARET

Provider	City	State	Total Paid
PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES	HAMDEN	CT	$362K
RADIOLOGY OF GREATER NEW HAVEN LLC.	HAMDEN	CT	$42K

Year	Claims	Total Paid
2021	2,664	$142K
2022	634	$11K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	814	646	$75K
99401		1,092	898	$35K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	171	160	$25K
99443		111	87	$6K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	74	57	$5K
96127		215	203	$4K
99406		62	52	$899.75
96160		49	44	$852.12
99491	Ccm add 20min	35	33	$315.02
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	675	547	$0.00