Providers
DANIEL JOSEPH PURCELL, MD
NPI 1689855280, individual, Farmington, CT, Emergency Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 17 months, but with up to 6691 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 52 of 100, rank 8331, $7.3M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 37.5 | 76.3 | 50.9 | 68.6 | 2793 | 2 | 99202 99203 99204 99212 99213 99214 | $340K |
| Feb 2018 | More hours than a day holds at a conservative unit price | 23.6 | 48.3 | 32.2 | 45.1 | 1842 | 2 | 99202 99203 99204 99212 99213 | $223K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 20.3 | 42.1 | 28.0 | 39.5 | 1796 | 1 | 99202 99203 99204 99212 99213 | $216K |
| Apr 2018 | More hours than a day holds at a conservative unit price | 21.5 | 43.8 | 29.2 | 41.8 | 1722 | 1 | 99202 99203 99204 99212 99213 | $207K |
| May 2018 | More hours than a day holds at a conservative unit price | 19.5 | 41.7 | 27.8 | 37.4 | 1626 | 1 | 99202 99203 99204 99212 99213 | $198K |
| Sep 2018 | More hours than a day holds at a conservative unit price | 21.2 | 44.8 | 29.9 | 44.8 | 1757 | 1 | 99202 99203 99204 99212 99213 | $207K |
| Oct 2018 | More hours than a day holds at a conservative unit price | 16.0 | 36.4 | 24.2 | 32.7 | 1460 | 1 | 99202 99203 99204 99212 99213 99214 | $177K |
| Jan 2019 | More hours than a day holds at a conservative unit price | 19.5 | 42.6 | 28.4 | 38.3 | 1743 | 1 | 99202 99203 99204 99212 99213 | $213K |
| Feb 2019 | More hours than a day holds at a conservative unit price | 21.5 | 47.0 | 31.3 | 43.9 | 1716 | 1 | 99203 99204 99212 99213 | $209K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 98.5 | 114.2 | 76.1 | 107.3 | 6691 | 1 | 99202 99203 99204 99211 99213 99214 | $573K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 59.0 | 75.4 | 50.3 | 71.9 | 3506 | 1 | 99202 99203 99204 99213 99214 | $343K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 25.3 | 35.7 | 23.8 | 32.1 | 1780 | 2 | 99203 99213 99214 | $177K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 30.3 | 44.4 | 29.6 | 41.7 | 2135 | 2 | 99203 99204 99213 99214 | $220K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 41.3 | 62.2 | 41.5 | 58.4 | 2925 | 2 | 99203 99204 99213 99214 | $309K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 36.5 | 55.1 | 36.7 | 50.1 | 2549 | 2 | 99202 99203 99204 99212 99213 99214 | $267K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 34.5 | 53.8 | 35.8 | 52.9 | 2628 | 2 | 99202 99203 99204 99211 99212 99213 99214 | $275K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 36.1 | 40.2 | 26.8 | 36.1 | 4687 | 2 | 99202 99203 99211 99212 99213 | $238K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DANIEL JOSEPH PURCELL, MD |
| Type | Individual |
| Status | Active |
| NPI issued | November 25, 2007, last updated October 26, 2015 |
| Practice location | 263 FARMINGTON AVE, Farmington, CT 06030-0001, 860-679-2000 |
| Mailing address | 41 W BEACON ST, West Hartford, CT 06119-1814 |
| Specialties | Emergency Medicine (207P00000X, primary, license 263327 NY) |
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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2.8M | 31% | $97 | $44 (top 5% from $110) | 93rd percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $2.6M | 29% | $102 | $67 (top 5% from $121) | 89th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $1.1M | 12% | $110 | $28 (top 5% from $147) | 92nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $726K | 8% | $109 | $60 (top 5% from $133) | 89th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $400K | 4% | $130 | $95 (top 5% from $171) | 78th percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $374K | 4% | $33 | $32 (top 5% from $49) | 56th percentile | |
| 99284 | Emergency department visit with moderate level of medical decision making | $209K | 2% | $100 | $86 (top 5% from $224) | 64th percentile | |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $201K | 2% | $71 | $45 (top 5% from $138) | 83rd percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 186 | 184 | $36K | $1K | $241 | 5.4x | 4.7x (90th percentile 10.0x) |
| 99285 | Emergency department visit with high level of medical decision making | 164 | 164 | $26K | $1K | $196 | 6.2x | 6.9x (90th percentile 11.7x) |
| 99284 | Emergency department visit with moderate level of medical decision making | 212 | 190 | $23K | $630 | $141 | 4.5x | 6.7x (90th percentile 11.3x) |
| 99283 | Emergency department visit with low level of medical decision making | 46 | 44 | $3K | $365 | $82 | 4.5x | 5.8x (90th percentile 10.9x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 16 | 16 | $3K | $1K | $205 | 5.7x | 3.0x (90th percentile 5.6x) |
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
2 providers in Farmington, CT carry an indicator in the public record, with $0 at stake between them. The most common is named in an enforcement record, on 1 of them, followed by part of a provider network on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ALICIA THOMPKINS Farmington, CT, ranked 677 | $0 |
|
| 3 | AMBERWOODS REHAB CENTER LLC Farmington, CT, ranked 5127 | $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.