Prospect Family Medicine, PC

Prospect Family Medicine, PC was paid $83K by Medicaid between Jan 2018 and Feb 2019, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoPROSPECT FAMILY MEDICINE, PC
PROSPECT, CT 06712

33aNPI1972664217assigned 12/12/2006

33bProvider typeFamily Medicine Physician

28Total paid$83K

24GClaims1,391

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Family Medicine Physician providers in Connecticut

Rank by total paid#54 of 139

Median peer was paid$35K

This provider vs. median2.4×

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	1,257	$74K
2019	134	$10K

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	56%	789	739	$46K
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	44%	496	465	$36K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	15	15	$333.60
90686		<1%	54	53	$114.18
92555		<1%	12	12	$104.80
99173		<1%	12	12	$76.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	13	12	$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 officialEDWARDS, DREW (OWNER)