THOMAS ANDREW BROWN, M.D.
NPI 1053402263, individual, Wethersfield, CT, Internal Medicine
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | THOMAS ANDREW BROWN, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 27, 2006, last updated August 6, 2016 |
| Practice location | 672 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.4M | 58% | $116 | $60 (top 5% from $133) | 92nd percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $380K | 15% | $153 | $95 (top 5% from $171) | 90th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $219K | 9% | $65 | $44 (top 5% from $110) | 77th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $152K | 6% | $129 | $88 (top 5% from $210) | 76th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $94K | 4% | $92 | $67 (top 5% from $121) | 81st percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $54K | 2% | $34 | $32 (top 5% from $49) | 57th percentile | |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $52K | 2% | $68 | $45 (top 5% from $138) | 80th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $20K | 1% | $47 | $28 (top 5% from $147) | 78th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 55 | 25 | $4K | $264 | $132 | 2.0x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 52 | 26 | $4K | $186 | $91 | 2.1x | 2.2x (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.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SHAWN TYSON Hartford, CT, ranked 62 | $0 |
|
| 1 | MINDS CORNERSTONE LLC Wethersfield, CT, ranked 74 | $721K |
|
| 1 | HELEN ZERVAS Bristol, CT, ranked 112 | $192K |
|
| 1 | SORAYA SAWICKI Avon, CT, ranked 133 | $131K |
|
| 1 | MICHAEL PINES Glastonbury, CT, ranked 444 | $0 |
|
| 1 | THE GEMINI PROJECT, LLC Newington, CT, ranked 446 | $0 |
|
| 1 | COLLABORATIVE COUNSELING CENTER, LLC Hartford, CT, ranked 550 | $0 |
|
| 1 | DONALD SALZBERG West Hartford, CT, ranked 575 | $0 |
|
Recent enforcement in CT
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.