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 Mental Health Specialists Inc (NPI 1053362814)

Connecticut Mental Health Specialists Inc is a psychiatry physician provider located in Farmington, Connecticut. This profile covers 0 Medicare and 57 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 Mental Health Specialists Inc
Address	270 Farmington Ave
City	Farmington
State	CT
ZIP	06032
Taxonomy	Psychiatry Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	38,220	$10	$267.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	32,230	$10	$161.1K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	15,130	$10	$151.3K
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…	6,770	$20	$149K
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…	6,840	$10	$75.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6,030	$10	$66.4K
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…	3,530	$20	$56.5K
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…	12,940	$1	$51.7K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	5,820	$10	$29.1K
99337	N/A	690	$30	$21.3K

Showing 1–10 of 57

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 Mental Health Specialists Inc — 4 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

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	369	1,590	740	$50	$331.8K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	26	40	270	$270	$297.7K
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…	260	1,710	750	$30	$243.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,652	2,180	850	$90	$202.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	24	420	1,230	$20	$199.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	84	570	410	$50	$197.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	12	140	330	$20	$194.5K
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…	23	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…	70	100	340	$30	$172.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	44	50	910	$30	$118.4K

Showing 1–10 of 57

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kelli Gagne	SC	Psychiatric/Mental Health Nurse Practitioner	$320.8K	$0
Debbre Oberman	CT	Clinical Social Worker	$46.5K	$252.2K
Martin Cooper	CT	Geriatric Psychiatry Physician	$283.7K	$0
Rana Singh	CT	Psychiatry Physician	$192.9K	$0
Nora Frempong	CT	Physician Assistant	$162.4K	$0
Seth Banever	CT	Psychiatry Physician	$152.9K	$0
Jorge Aguilar-zanatta	CT	Psychiatry Physician	$151K	$0
Constantino Papadopoulos	CT	Physician Assistant	$150.9K	$0
Rebecca Strubbe	CT	Medical Physician Assistant	$125.1K	$0
Annie Morosky	CT	Psychiatric/Mental Health Nurse Practitioner	$121.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prohealth Physicians PC	CT	Family Medicine Physician	$0	$80.5M
Interim Healthcare Of Hartford, Inc.	CT	Home Health Agency	$0	$7.9M
New Britain Medical Supplies Inc	CT	Durable Medical Equipment & Medical Supplies	$0	$3.2M
Pediatric Associates Of Farmington LLC	CT	Pediatrics Physician	$0	$2.3M
Wound Surgeons LLC	CT	General Practice Physician	$0	$2M
Thomas Ward	CT	Ophthalmology Physician	$1.3M	$0
Consulting Ophthalmologists, PC	CT	Ophthalmology Physician	$0	$1.2M
Dialysis Clinic Inc.	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
University Of Connecticut Health Center	CT	Clinical Medical Laboratory	$396.3K	$580.4K
Nauman Piracha	CT	Hospitalist Physician	$489.5K	$104.3K

Connecticut Mental Health Specialists Inc — Billing Profile & Reimbursement Data

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Connecticut Mental Health Specialists Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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