Physician
Town and Country Pediatrics and Family Medicine, P.C.
Town and Country Pediatrics and Family Medicine, P.C. was paid $6.22M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoTOWN AND COUNTRY PEDIATRICS AND FAMILY MEDICINE, P.C.
WATERTOWN, CT 06795
WATERTOWN, CT 06795
33aNPI1942414081assigned 05/09/2007
33bProvider typeFamily Medicine Physician
28Total paid$6.22M
24GClaims174,272
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Connecticut
Rank by total paid#3 of 139
Median peer was paid$35K
This provider vs. median176×
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 | 25,692 | $992K | |
| 2019 | 28,934 | $965K | |
| 2020 | 23,548 | $805K | |
| 2021 | 22,897 | $818K | |
| 2022 | 25,371 | $881K | |
| 2023 | 24,007 | $873K | |
| 2024incomplete | 23,823 | $887K |
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 | 40% | 34,441 | 28,314 | $2.47M |
| 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 | 15% | 8,798 | 7,203 | $926K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 3,342 | 3,120 | $384K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.9% | 9,262 | 8,382 | $369K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 3,031 | 2,834 | $346K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 2,808 | 2,428 | $301K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 7,507 | 6,911 | $169K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 1,332 | 1,218 | $159K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 2,458 | 2,223 | $115K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 11,289 | 9,903 | $111K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 5,189 | 4,540 | $99K |
| 96127 | 1.4% | 4,297 | 3,717 | $87K |
52 more codes
| 99051 | 1.4% | 11,598 | $84K | |
| 99177 | 1.2% | 4,517 | $77K | |
| 92587 | 1.1% | 2,227 | $68K | |
| 92552 | 1.1% | 6,093 | $66K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,905 | $52K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,237 | $43K |
| 99442 | <1% | 1,063 | $40K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 811 | $37K |
| 36416 | <1% | 10,904 | $32K | |
| 99173 | <1% | 4,530 | $29K | |
| 96160 | <1% | 1,976 | $27K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 848 | $24K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 847 | $23K |
| 96161 | <1% | 1,018 | $20K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 693 | $13K |
| 87634 | <1% | 177 | $11K | |
| 90686 | <1% | 5,370 | $8K | |
| 87420 | <1% | 621 | $6K | |
| 99188 | <1% | 167 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 31 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $4K |
| 90473 | <1% | 175 | $3K | |
| 69210 | <1% | 106 | $3K | |
| 99174 | <1% | 162 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 61 | $1K |
| 90707 | <1% | 715 | $1K | |
| 90651 | <1% | 436 | $1K | |
| 87807 | <1% | 91 | $884.77 | |
| 90716 | <1% | 701 | $685.26 | |
| 99050 | <1% | 33 | $482.40 | |
| 90672 | <1% | 276 | $403.89 | |
| 90620 | <1% | 57 | $348.50 | |
| 90734 | <1% | 177 | $127.63 | |
| 90715 | <1% | 132 | $98.35 | |
| 81025 | <1% | 13 | $78.52 | |
| 85018 | <1% | 10,871 | $44.24 | |
| 90633 | <1% | 768 | $31.20 | |
| 99000 | <1% | 413 | $20.00 | |
| 81002 | <1% | 251 | $17.08 | |
| 90677 | <1% | 290 | $0.68 | |
| 90685 | <1% | 180 | $0.04 | |
| 90696 | <1% | 48 | $0.01 | |
| 90670 | <1% | 1,164 | $0.01 | |
| 90723 | 0% | 257 | $0.00 | |
| 90647 | 0% | 902 | $0.00 | |
| 90619 | 0% | 111 | $0.00 | |
| 90698 | 0% | 58 | $0.00 | |
| 88738 | 0% | 217 | $0.00 | |
| 90461 | 0% | 3,950 | $0.00 | |
| 90681 | 0% | 208 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90671 | 0% | 21 | $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 officialLUSTIG, JACQUELINE (PRESIDENT)