Providers

THOMAS ANDREW BROWN, M.D.

NPI 1053402263, individual, Wethersfield, CT, Internal Medicine

5
Evidence tier
informational
score 31 of 100, rank 10941, $1.2M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameTHOMAS ANDREW BROWN, M.D.
TypeIndividual, sole proprietor
StatusActive
NPI issuedSeptember 27, 2006, last updated August 6, 2016
Practice location672 SILAS DEANE HWY, KATHY'S URGENT CARE OF WETHERSFIELD, Wethersfield, CT 06109-3053, 860-967-3600
Specialties
Internal Medicine (207R00000X, license RT1377 NH)
Internal Medicine (207R00000X, primary, license 045352 CT)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$1.4M58%$116$60 (top 5% from $133)92nd percentile
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$380K15%$153$95 (top 5% from $171)90th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$219K9%$65$44 (top 5% from $110)77th percentile
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse$152K6%$129$88 (top 5% from $210)76th percentile
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$94K4%$92$67 (top 5% from $121)81st percentile
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus$54K2%$34$32 (top 5% from $49)57th percentile
99202New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more$52K2%$68$45 (top 5% from $138)80th percentile
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more$20K1%$47$28 (top 5% from $147)78th percentile
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5525$4K$264$1322.0x2.3x (90th percentile 3.8x)
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5226$4K$186$912.1x2.2x (90th percentile 3.8x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

33 providers in Wethersfield, CT carry an indicator in the public record, with $12.7M at stake between them. The most common is named in an enforcement record, on 12 of them, followed by more hours than a day holds on 9. 12 are tier 1: documented action, then payment.

tierproviderat stakewhy
1SHAWN TYSON
Hartford, CT, ranked 62
$0
  • Adjudicated (sentenced, pleaded guilty) per a Department of Justice release dated June 21, 2024.
  • No Medicaid payments in the last 12 observed months.
  • and 2 more
1MINDS CORNERSTONE LLC
Wethersfield, CT, ranked 74
$721K
  • Adjudicated (complaint, pleaded guilty) per a Department of Justice release and an HHS-OIG enforcement record dated January 16, 2025.
  • Medicaid paid $721,009 in the last 12 observed months.
1HELEN ZERVAS
Bristol, CT, ranked 112
$192K
  • Adjudicated (pleaded guilty, indicted) per a Department of Justice release dated February 11, 2025.
  • Medicaid paid $192,083 in the last 12 observed months.
1SORAYA SAWICKI
Avon, CT, ranked 133
$131K
  • Adjudicated (sentenced) per a state attorney general release dated June 3, 2025.
  • Medicaid paid $130,870 in the last 12 observed months.
1MICHAEL PINES
Glastonbury, CT, ranked 444
$0
  • Adjudicated (sentenced, pleaded guilty) per a Department of Justice release dated January 31, 2024.
  • No Medicaid payments in the last 12 observed months.
  • and 1 more
1THE GEMINI PROJECT, LLC
Newington, CT, ranked 446
$0
  • Adjudicated (pleaded guilty, complaint) per a Department of Justice release dated January 16, 2025.
  • No Medicaid payments in the last 12 observed months.
  • and 1 more
1COLLABORATIVE COUNSELING CENTER, LLC
Hartford, CT, ranked 550
$0
  • Adjudicated (sentenced) per a state attorney general release dated August 28, 2024.
  • No Medicaid payments in the last 12 observed months.
1DONALD SALZBERG
West Hartford, CT, ranked 575
$0
  • Adjudicated (sentenced) per a Department of Justice release dated May 9, 2024.
  • No Medicaid payments in the last 12 observed months.
All 33 in CT

Recent enforcement in CT

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementJun 23, 2026
Connecticut Lab and its Owner Pay Over $145K to Settle Allegations of Medicaid Enrollment Fraud
Coastal Diagnostics and its owner made material misrepresentations in a Connecticut Medicaid Provider Enrollment Application by denying any relationship to another enrolled provider, Genco Lab, and then submitted claims for laboratory services.
DOJPleaded guiltyJun 23, 2026
Middletown Man Pleads Guilty to Operating Unlawful Money Transmitting Business
Habib registered a company and opened a bank account through which fraudulent claims were submitted to Medicare Advantage plans for durable medical equipment, including orthotics and braces, that beneficiaries did not request, consent to, or receive, and he wired proceeds to Pakistan without a money transmitting license.
DOJComplaint filedMay 22, 2026
APRN Charged with Defrauding Connecticut’s Medicaid Program
An APRN was charged with submitting fraudulent Medicaid claims for medication management services that were not provided, including for patients who had stopped seeing her or who were hospitalized, incarcerated, or deceased.
DOJSentencedApr 30, 2026
Cheshire Nurse Who Illegally Distributed Controlled Substances is Sentenced
An Advanced Practice Registered Nurse enrolled as a Medicare and Medicaid provider unlawfully distributed amphetamines and benzodiazepines to individuals without legitimate medical need, charging $200 cash for office visits, and Medicaid paid $287.58 for prescriptions written for an undercover agent.
DOJSentencedFeb 10, 2026
Bloomfield Man Sentenced to Federal Prison for Health Care Fraud
Tyson and Epps submitted fraudulent Medicaid claims for psychotherapy counseling sessions that were not provided, billed under Tyson's provider number for services purportedly provided by the suspended Epps, and Tyson provided fraudulent patient records during a Medicaid audit.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.