Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › MIDDLETOWN › MIDDLESEX HOSPITAL

MIDDLESEX HOSPITAL

NPI: 1972563138 · MIDDLETOWN, CT 06457 · Emergency Medicine Physician · NPI assigned 03/23/2006

$7.45M
Total Medicaid Paid
196,189
Total Claims
167,759
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAPECE, VINCENT (CEO)
Parent OrganizationMIDDLESEX HOSPITAL
NPI Enumeration Date03/23/2006

Related Entities

Other providers sharing the same authorized official: CAPECE, VINCENT

ProviderCityStateTotal Paid
MIDDLESEX HOSPITAL MIDDLETOWN CT $116.08M
MIDDLESEX HOSPITAL MIDDLETOWN CT $2.70M
MIDDLESEX HOSPITAL MIDDLETOWN CT $2.02M
MIDDLESEX HOSPITAL MIDDLETOWN CT $700K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 32,927 $1.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 33,827 32,530 $2.32M
99284 Emergency department visit for the evaluation and management, high severity 28,837 27,911 $1.41M
99283 Emergency department visit for the evaluation and management, moderate severity 43,658 42,369 $1.32M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,154 18,815 $814K
99233 Prolong inpt eval add15 m 19,111 9,032 $378K
99232 Subsequent hospital care, per day, moderate complexity 23,084 11,802 $324K
99223 Prolong inpt eval add15 m 4,562 4,413 $189K
99239 Hospital discharge day management, more than 30 minutes 7,796 7,423 $171K
99215 Prolong outpt/office vis 2,495 2,369 $121K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,636 3,406 $111K
95810 Polysomnography; sleep staging with 4 or more additional parameters 868 844 $67K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,128 396 $45K
95886 1,131 1,037 $42K
99205 Prolong outpt/office vis 428 400 $29K
95819 1,346 1,136 $23K
64615 416 352 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 243 212 $14K
99282 Emergency department visit for the evaluation and management, low to moderate severity 640 619 $12K
95806 270 262 $10K
95251 645 611 $7K
99220 166 154 $6K
95811 69 67 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 58 54 $4K
99244 Office or other outpatient consultation, moderate to high complexity 28 27 $3K
99255 28 26 $3K
95911 45 43 $3K
99222 Initial hospital care, per day, moderate complexity 105 97 $2K
99442 97 83 $2K
99238 Hospital discharge day management, 30 minutes or less 96 93 $2K
94060 261 250 $1K
95910 26 24 $882.14
99217 53 49 $822.40
94727 152 147 $570.57
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 38 38 $453.65
94729 145 140 $376.20
99441 28 28 $314.57
94010 16 14 $116.68
94618 13 12 $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) 12 12 $30.11
99406 465 449 $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 13 13 $9.48