Norwich Pediatric Group, P.C. — Billing Profile & Reimbursement Data
NPI 1134329485 · Norwich, CT · Pediatrics Physician
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Norwich Pediatric Group, P.C. is a pediatrics physician provider located in Norwich, Connecticut. This profile covers 0 Medicare and 41 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Norwich Pediatric Group, P.C. |
| Address | 92 New London Tpke |
| City | Norwich |
| State | CT |
| ZIP | 06360 |
| Taxonomy | Pediatrics Physician |
| NPI Enumerated | July 24, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.4M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
41 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 22,770 | $60 | $1.4M |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 3,510 | $100 | $365.5K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 3,930 | $90 | $357.4K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 3,050 | $100 | $301.7K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 14,870 | $20 | $282.6K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 2,170 | $100 | $221.1K |
| 96110 | The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate… | 9,540 | $20 | $152.7K |
| 90472 | This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection. | 6,330 | $20 | $114K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 840 | $90 | $78.9K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 4,610 | $20 | $69.2K |
Showing 1–10 of 41
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
41 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 761 | 1,590 | 740 | $50 | $331.8K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 96 | 1,710 | 750 | $30 | $243.3K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 39 | 170 | 850 | $80 | $203.5K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 31 | 160 | 680 | $70 | $166.1K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 36 | 180 | 710 | $70 | $151.2K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 451 | 480 | 200 | $60 | $112.1K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 31 | 170 | 410 | $70 | $98K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 179 | 300 | 300 | $20 | $61.6K |
| 96110 | The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate… | 18 | 140 | 1,300 | $10 | $51.7K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 51 | 290 | 470 | $10 | $41.9K |
Showing 1–10 of 41
Nearby Providers
Other providers in the same ZIP code as Norwich Pediatric Group, P.C., ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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