ANANTHAKUMAR THILLAINATHAN, MD
NPI 1285900621, individual, Stratford, CT, Internal Medicine
- Listed on the Medicare revocation list since November 4, 2022.
- Medicaid still paid claims in 1 later month, $461 in total.
- Hours beyond a day in 13 months, but with up to 1268 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- A second detector adds a weaker signal.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Nov 4, 2022 | Nov 4, 2032 | 1 | Dec 2022 | Dec 2022 | $461 | $2.4M |
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 24.7 | 10.5 | 7.0 | 9.5 | 358 | 1 | 99204 99213 99214 99401 99402 99409 | $35K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 32.9 | 14.7 | 9.8 | 13.8 | 498 | 1 | 99204 99213 99214 99401 99402 99409 | $41K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 24.1 | 12.1 | 8.1 | 11.9 | 496 | 1 | 99204 99213 99214 99401 99402 99409 | $37K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 25.0 | 12.8 | 8.6 | 11.7 | 518 | 1 | 99204 99213 99214 99401 99402 99409 | $39K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 27.5 | 14.4 | 9.6 | 12.9 | 581 | 1 | 99204 99213 99214 99401 99402 99409 | $45K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 24.1 | 13.0 | 8.7 | 11.7 | 460 | 1 | 99204 99214 99309 99401 99402 99409 | $36K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 24.6 | 13.7 | 9.1 | 12.9 | 497 | 1 | 99204 99214 99309 99401 99402 99409 | $38K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 32.9 | 16.2 | 10.8 | 15.5 | 582 | 1 | 99204 99214 99309 99401 99402 99409 | $43K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 42.6 | 20.5 | 13.7 | 18.4 | 701 | 1 | 99204 99214 99309 99401 99402 99409 | $56K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 25.9 | 13.9 | 9.2 | 13.2 | 501 | 1 | 99204 99214 99309 99401 99402 99409 | $36K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 36.0 | 21.1 | 14.0 | 18.9 | 799 | 1 | 99204 99214 99309 99401 99402 99409 | $64K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 25.5 | 32.2 | 21.5 | 30.2 | 1123 | 1 | 99204 99213 99214 99401 99402 99409 | $104K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 30.7 | 49.7 | 33.1 | 48.9 | 1268 | 1 | 99204 99213 99214 99402 99409 | $164K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANANTHAKUMAR THILLAINATHAN, MD |
| Type | Individual |
| Status | Active |
| NPI issued | March 29, 2012, last updated July 14, 2020 |
| Practice location | 3000 MAIN ST, Stratford, CT 06614-4939, 516-582-1948 |
| Mailing address | 5 CAMDEN PLACE, New Hyde Park, NY 11040 |
| Specialties | Internal Medicine (207R00000X, primary, license 053980 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 | 44% | $113 | $60 (top 5% from $133) | 91st percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $328K | 11% | $148 | $95 (top 5% from $171) | 89th percentile | |
| 99402 | Preventive counseling individual 30 min | $253K | 8% | $62 | $36 (top 5% from $131) | 72nd percentile | |
| 95165 | Professional service for preparation and provision of 1 or more antigens | $244K | 8% | $371 | $187 (top 5% from $1K) | 82nd percentile | |
| 99409 | Alcohol/substance screening and brief intervention more than 30 min | $222K | 7% | $45 | $30 (top 5% from $156) | 75th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $112K | 4% | $65 | $44 (top 5% from $110) | 77th percentile | |
| 96127 | Assessment of emotional or behavioral problems | $105K | 3% | $18 | $4.12 (top 5% from $19) | 95th percentile | |
| 99401 | Preventive counseling individual 15 min | $63K | 2% | $37 | $16 (top 5% from $46) | 88th percentile |
In this area
23 providers in Stratford, CT carry an indicator in the public record, with $8.8M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by paid after a public list action on 5. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MDCARENOW LLC Stratford, CT, ranked 453 | $45 |
|
| 1 | JEANNIE PASACRETA Newtown, CT, ranked 494 | $0 |
|
| 1 | HELPING HANDS ACADEMY Bridgeport, CT, ranked 606 | $0 |
|
| 1 | HAMED GHORBANI-MOGHADDAM Bridgeport, CT, ranked 617 | $0 |
|
| 3 | SOUTHPORT CENTER FOR NURSING & REHABILITATION, LLC Southport, CT, ranked 1478 | $25K |
|
| 3 | HEWITT HEALTH & REHABILITATION Shelton, CT, ranked 5555 | $0 |
|
| 3 | GARDNER HEIGHTS HEALTH CARE CENTER Shelton, CT, ranked 5752 | $0 |
|
| 3 | SHELTON LAKES HEALTH CARE CENTER, INC Shelton, CT, ranked 5781 | $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.