Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Connecticut (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Hamden Medical Group, LLC (NPI 1013147602)

Field	Value
Entity Type	Organization
Organization	Hamden Medical Group, LLC
Address	2340 Whitney Ave
City	Hamden
State	CT
ZIP	06518
Taxonomy	Family Medicine Physician
NPI Enumerated	July 17, 2009

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	10,620	$80	$796.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,760	$110	$309.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,260	$50	$106.1K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	820	$90	$76K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	360	$170	$59.4K
99443	N/A	470	$60	$28.3K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,700	$10	$23.8K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	830	$20	$14.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	4,660	$1	$14K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,060	$10	$12.7K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.

Claims Volume vs. Connecticut Distribution

Hamden Medical Group, LLC — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	34	40	23,540	$140	$3.7M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	40	40	5,360	$120	$1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	151	1,590	740	$50	$331.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	528	1,710	750	$30	$243.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	98	140	780	$40	$163.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	39	380	220	$70	$99.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	73	200	530	$20	$69.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	80	150	190	$50	$43.5K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	120	290	470	$10	$41.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	31	140	150	$60	$38.6K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Hamden Medical Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patient Care Hha, LLC	CT	Home Health Agency	$0	$14.6M
Home Health Professionals Network	CT	Home Health Agency	$0	$9.8M
New England Retina Associates, P.C	CT	Retina Specialist (Ophthalmology) Physician	$0	$4.4M
The Center For Pediatric And Family Growth	CT	Behavior Analyst	$0	$3.4M
Heartcare Associates Of Connecticut, LLC	CT	Cardiovascular Disease Physician	$0	$3M
Children's Medical Group, LLC	CT	Pediatrics Physician	$0	$2.6M
Hamden Sleep Disorders Center LLC	CT	Sleep Medicine (Internal Medicine) Physician	$177K	$2.3M
David Tom	CT	Ophthalmology Physician	$2.5M	$0
Drs Chen And Seignemartin LLC	CT	Pediatric Dentistry	$0	$2.1M
Gregory Haffner	CT	Ophthalmology Physician	$1.4M	$0

Hamden Medical Group, LLC — Billing Profile & Reimbursement Data

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Hamden Medical Group, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References