Physician
Middlesex Hospital
Middlesex Hospital was paid $7.45M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99285, emergency room visit (most serious) — 31% of everything it billed.
33Billing provider infoMIDDLESEX HOSPITAL
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
33aNPI1972563138assigned 03/23/2006
33bProvider typeEmergency Medicine Physician
28Total paid$7.45M
24GClaims196,189
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Connecticut
Rank by total paid#6 of 92
Median peer was paid$10K
This provider vs. median746×
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 | 21,383 | $945K | |
| 2019 | 19,192 | $919K | |
| 2020 | 21,810 | $856K | |
| 2021 | 29,934 | $1.18M | |
| 2022 | 33,629 | $1.23M | |
| 2023 | 37,314 | $1.24M | |
| 2024incomplete | 32,927 | $1.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 31% | 33,827 | 32,530 | $2.32M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 19% | 28,837 | 27,911 | $1.41M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 43,658 | 42,369 | $1.32M |
| 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 | 11% | 20,154 | 18,815 | $814K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.1% | 19,111 | 9,032 | $378K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.3% | 23,084 | 11,802 | $324K |
| 99223 | Prolong inpt eval add15 m | 2.5% | 4,562 | 4,413 | $189K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.3% | 7,796 | 7,423 | $171K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 2,495 | 2,369 | $121K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 3,636 | 3,406 | $111K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 868 | 844 | $67K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 1,128 | 396 | $45K |
29 more codes
| 95886 | <1% | 1,131 | $42K | |
| 99205 | Prolong outpt/office vis | <1% | 428 | $29K |
| 95819 | <1% | 1,346 | $23K | |
| 64615 | <1% | 416 | $16K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 243 | $14K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 640 | $12K |
| 95806 | <1% | 270 | $10K | |
| 95251 | <1% | 645 | $7K | |
| 99220 | <1% | 166 | $6K | |
| 95811 | <1% | 69 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 58 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 28 | $3K |
| 99255 | <1% | 28 | $3K | |
| 95911 | <1% | 45 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 105 | $2K |
| 99442 | <1% | 97 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 96 | $2K |
| 94060 | <1% | 261 | $1K | |
| 95910 | <1% | 26 | $882.14 | |
| 99217 | <1% | 53 | $822.40 | |
| 94727 | <1% | 152 | $570.57 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 38 | $453.65 |
| 94729 | <1% | 145 | $376.20 | |
| 99441 | <1% | 28 | $314.57 | |
| 94010 | <1% | 16 | $116.68 | |
| 94618 | <1% | 13 | $115.22 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 12 | $30.11 |
| 99406 | <1% | 465 | $11.22 | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 13 | $9.48 |
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 officialCAPECE, VINCENT (CEO)
Parent organizationMIDDLESEX HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Middlesex Hospital | Middletown, CT | $116.08M |
| Middlesex Hospital | Middletown, CT | $2.70M |
| Middlesex Hospital | Middletown, CT | $2.02M |
| Middlesex Hospital | Middletown, CT | $700K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.