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.

Connecticut Gi PLLC (NPI 1023124625)

Connecticut Gi PLLC is a gastroenterology physician provider located in Hartford, Connecticut. This profile covers 0 Medicare and 35 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Connecticut Gi PLLC
Address	85 Seymour St
City	Hartford
State	CT
ZIP	06106
Taxonomy	Gastroenterology Physician
NPI Enumerated	August 23, 2006

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	30,030	$130	$3.8M
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…	62,560	$40	$2.4M
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	17,580	$70	$1.3M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	21,060	$40	$926.4K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	15,920	$50	$780.2K
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…	14,980	$30	$434.4K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	4,910	$80	$407.1K
99203	The provider sees a new 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 provider…	7,200	$40	$295.2K
99204	The provider sees a new 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 provider…	4,050	$70	$267.2K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	3,320	$70	$238.8K

Showing 1–10 of 35

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

Connecticut Gi PLLC — 8 of 25 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	4	70	570	$480	$626.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1	80	990	$260	$592K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	10	90	3,980	$40	$424.8K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	13	60	370	$460	$368K
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…	26	1,590	740	$50	$331.8K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	19	40	290	$460	$264.7K
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…	138	1,710	750	$30	$243.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	29	170	260	$20	$183.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	35	100	340	$30	$172.2K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	36	70	320	$110	$129K

Showing 1–10 of 35

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Najarian	MA	Anatomic Pathology Physician	$520.7K	$878.6K
Susan Gobel	CT	Anatomic Pathology & Clinical Pathology Physician	$539K	$0
Ayesha Siddique	CT	Anatomic Pathology & Clinical Pathology Physician	$353.4K	$0
Angela Fields	WA	Anatomic Pathology & Clinical Pathology Physician	$343.1K	$0
Anshu Trivedi	CT	Anatomic Pathology Physician	$296.6K	$0
Jennifer Dodge	NY	Physician Assistant	$276.4K	$0
Bela Horvath	MA	Anatomic Pathology Physician	$246.7K	$0
John Wysocki	CT	Gastroenterology Physician	$244.7K	$0
Neil Parikh	CT	Gastroenterology Physician	$178.8K	$0
Kristin D'alfonso	CT	Medical Physician Assistant	$173.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Children's Medical Center	CT	Children's Hospital	$0	$248.8M
Hartford Dispensary	CT	Substance Use Disorder Rehabilitation Clinic/Center	$1.6M	$122.8M
Connecticut Children's Specialty Group, Inc.	CT	Pediatrics Physician	$0	$59.8M
Hartford Healthcare Medical Group Specialists, PLLC	CT	Surgery Physician	$0	$46M
Charter Oak Health Center, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$42.5M
Hartford Dispensary	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.1M
Aetna Ambulance Service, Inc	CT	Land Ambulance	$2.9M	$22.2M
Home Care Vna, LLC	CT	Home Health Agency	$0	$12.4M
Charter Oak Health Center, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$8M
Dierks Dialysis LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.2M

Connecticut Gi PLLC — Billing Profile & Reimbursement Data

Sign up for Connecticut Gi PLLC — Billing Profile & Reimbursement Data policy alerts

Connecticut Gi PLLC — Billing Profile & Reimbursement Data

Sign up for Connecticut Gi PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References