Physician
Family and Internal Medicine of Dixwell Avenue
Family and Internal Medicine of Dixwell Avenue was paid $2.51M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoFAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE
HAMDEN, CT 06514
HAMDEN, CT 06514
33aNPI1962681684assigned 10/30/2007
33bProvider typeInternal Medicine Physician
28Total paid$2.51M
24GClaims79,533
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Connecticut
Rank by total paid#16 of 295
Median peer was paid$35K
This provider vs. median71×
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 | 18,308 | $524K | |
| 2019 | 17,053 | $437K | |
| 2020 | 8,443 | $320K | |
| 2021 | 7,519 | $302K | |
| 2022 | 8,957 | $348K | |
| 2023 | 10,140 | $313K | |
| 2024incomplete | 9,113 | $261K |
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 | 66% | 36,184 | 29,187 | $1.65M |
| 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 | 20% | 9,950 | 8,597 | $497K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.1% | 737 | 698 | $78K |
| 93000 | 2.8% | 6,743 | 5,944 | $69K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 617 | 546 | $49K |
| 99490 | Ccm add 20min | 1.7% | 3,753 | 3,733 | $43K |
| 96127 | 1.3% | 2,217 | 2,046 | $33K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 235 | 228 | $25K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,968 | 1,936 | $22K |
| 90674 | <1% | 444 | 404 | $7K | |
| 99442 | <1% | 295 | 264 | $7K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 214 | 189 | $4K |
38 more codes
| 99491 | Ccm add 20min | <1% | 193 | $3K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,941 | $3K |
| 90756 | <1% | 190 | $3K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 266 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 455 | $2K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 247 | $2K |
| 99497 | <1% | 144 | $711.44 | |
| 90688 | <1% | 59 | $695.76 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 86 | $636.84 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 50 | $470.64 |
| 99397 | <1% | 64 | $419.61 | |
| 99495 | <1% | 12 | $401.85 | |
| 90694 | <1% | 80 | $358.40 | |
| 99487 | Ccm add 20min | <1% | 12 | $149.56 |
| 82272 | <1% | 50 | $102.63 | |
| 86580 | <1% | 12 | $75.12 | |
| 90662 | <1% | 18 | $49.03 | |
| 81002 | <1% | 2,678 | $47.12 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 223 | $43.67 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 176 | $0.01 |
| 1125F | 0% | 1,327 | $0.00 | |
| 1126F | 0% | 2,093 | $0.00 | |
| 3017F | 0% | 334 | $0.00 | |
| 1170F | 0% | 528 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 443 | $0.00 |
| 3008F | 0% | 376 | $0.00 | |
| 3044F | 0% | 80 | $0.00 | |
| 1111F | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 206 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 242 | $0.00 |
| 1159F | 0% | 529 | $0.00 | |
| 1158F | 0% | 52 | $0.00 | |
| 1160F | 0% | 530 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 402 | $0.00 |
| 90653 | 0% | 20 | $0.00 | |
| 3045F | 0% | 20 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 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 officialKUMAR, BABU (PHYSICIAN)