CINDY PERRY, MD
NPI 1679865398, individual, Darien, CT, Pediatrics
- Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 96160 ($161 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 36.4 | 5.4 | 3.6 | 5.1 | 143 | 1 | 99213 99214 | $18K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 35.9 | 5.1 | 3.4 | 4.8 | 147 | 1 | 99213 99214 | $18K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CINDY PERRY, MD |
| Type | Individual |
| Status | Active |
| NPI issued | May 13, 2011, last updated February 13, 2023 |
| Practice location | 745 POST RD STE 100, Darien, CT 06820-4745, 203-655-6000 |
| Specialties | Pediatrics (208000000X, primary, license 049797 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 | $276K | 38% | $148 | $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 | $173K | 24% | $93 | $44 (top 5% from $110) | 92nd percentile | |
| 99392 | Medicaid service code | $57K | 8% | $161 | $78 (top 5% from $124) | 98th percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $40K | 6% | $40 | $26 (top 5% from $54) | 77th percentile | |
| 96160 | Administration and interpretation of patient-focused health risk assessment | $30K | 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 | $25K | 3% | $148 | $114 (top 5% from $186) | 86th percentile | |
| 99393 | Medicaid service code | $23K | 3% | $140 | $78 (top 5% from $121) | 97th percentile | |
| 96110 | Medicaid service code | $23K | 3% | $23 | $10 (top 5% from $38) | 88th percentile |
In this area
23 providers in Darien, 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 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
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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.