Providers
All 23 in CT
PATRICIA JORQUERA, MD, FAAP
NPI 1669559951, individual, Norwalk, CT, Pediatrics
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 5 months, but with up to 533 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99392 ($152 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7848, $922K at stake
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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 28.5 | 9.0 | 6.0 | 8.1 | 237 | 1 | 99204 99213 99214 99215 | $32K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 64.7 | 10.0 | 6.7 | 9.5 | 275 | 1 | 99212 99213 99214 | $34K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 64.5 | 9.5 | 6.4 | 8.9 | 270 | 1 | 99212 99213 99214 99215 | $34K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 89.9 | 15.5 | 10.3 | 13.9 | 482 | 1 | 99212 99213 99214 99215 | $60K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 28.2 | 14.8 | 9.9 | 14.3 | 422 | 1 | 99204 99213 99214 99215 | $54K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PATRICIA JORQUERA, MD, FAAP |
| Type | Individual |
| Status | Active |
| NPI issued | November 1, 2006, last updated December 12, 2014 |
| Practice location | 10 MOTT AVENUE, 4TH FLOOR, Norwalk, CT 06850, 203-855-7551 |
| Mailing address | 10 MOTT AVE., 4TH FLOOR, Norwalk, CT 06850 |
| Specialties | Pediatrics (208000000X, primary, license 037622 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
| 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 | $1.6M | 32% | $152 | $60 (top 5% from $133) | 97th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $914K | 19% | $99 | $44 (top 5% from $110) | 93rd percentile | |
| 99393 | Medicaid service code | $294K | 6% | $136 | $78 (top 5% from $121) | 97th percentile | |
| 99392 | Medicaid service code | $276K | 6% | $147 | $78 (top 5% from $124) | 97th percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $274K | 6% | $38 | $26 (top 5% from $54) | 75th percentile | |
| 99394 | Medicaid service code | $206K | 4% | $138 | $83 (top 5% from $128) | 96th percentile | |
| 96160 | Administration and interpretation of patient-focused health risk assessment | $179K | 4% | $26 | $2.01 (top 5% from $18) | 98th percentile | |
| 87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | $172K | 4% | $142 | $114 (top 5% from $186) | 80th percentile |
In this area
23 providers in Norwalk, CT carry an indicator in the public record, with $7.9M 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 6. 5 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ANANTHAKUMAR THILLAINATHAN Stratford, CT, ranked 418 | $461 |
|
| 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 |
|
Recent enforcement in CT
All releasesDepartment 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.