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.

The Hospital Of Central Connecticut At New Britain General And Bradley (NPI 1063461481)

Key Findings

Field	Value
Entity Type	Organization
Organization	The Hospital Of Central Connecticut At New Britain General And Bradley
Address	100 Grand St
City	New Britain
State	CT
ZIP	06052
Taxonomy	Hospitalist Physician
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicaid	$22.2M
Medicare	$0

This provider is effectively single-payer in the available dataset: there is no Medicare billing on file while lifetime Medicaid revenue is $22.2M. The NPI was enumerated 2006-05-10 (~20 years ago), indicating long-standing activity in the Medicaid program but no recorded Medicare footprint in the supplied data. This combination makes Medicaid the material payer for evaluating current billing patterns and revenue exposure.

Emergency department evaluation-and-management codes dominate the provider’s Medicaid revenue mix. The top three Medicaid codes 99284, 99285, and 99283 together account for 60.6% of this provider’s total Medicaid revenue, with 99284 generating $5.8M (99.7K claims, $58 avg paid/claim), 99285 generating $4.9M (63.4K claims, $78 avg paid/claim), and 99283 generating $2.4M (78.5K claims, $31 avg paid/claim). This concentration points to an ED-driven business model where moderate- and high-complexity emergency visits are the primary revenue drivers.

While ED E/M codes are revenue leaders, state comparative ranks and labels show a mixed competitive picture. For the major ED codes the provider ranks #10 of 127 in-state for 99284 (93th percentile; typical, unremarkable volume), #15 of 129 for 99285 (89th percentile; typical, unremarkable volume), and #13 of 114 for 99283 (89th percentile; typical, unremarkable volume), meaning it records high claim counts within the state but those volumes are characterized in the data as typical for these services.

Hospital inpatient and critical-care codes form a secondary but significant service-line cluster consistent with a hospitalist role. Codes such as 99232 ($1.4M; 64.1K claims, $22 avg paid/claim) rank #7 of 169 (96th percentile; notably above typical) and 99223 ($794.9K; 13.7K claims, $58 avg paid/claim) ranks #4 of 94 (97th percentile; extreme outlier), while critical care 99291 contributes $554.2K (7.8K claims, $71 avg paid/claim) and ranks #9 of 80 (90th percentile), together indicating above-typical inpatient and high-acuity activity for certain codes.

Several non-ED clinical lines are also represented in the code mix, signaling broader hospital service capacity. Obstetric fetal monitoring 59025 accounts for $311.2K (7.8K claims, $40 avg paid/claim), ultrasound 76811 accounts for $207.6K, wound debridement 11043 contributes $276.8K and ranks #2 of 18 (94th percentile; notably above typical), polysomnography 95810 contributes $121.9K, and psychiatric evaluation 90791 accounts for $260.3K and ranks #21 of 559 (96th percentile; notably above typical). These entries show the hospital bills across surgical, obstetric, sleep, and behavioral-health related services in its Medicaid population.

Revenue-per-claim and claim volumes show differential intensity across ED presentations that drive margins and operational focus. The three leading ED codes vary materially in avg paid/claim—$78 for 99285 versus $58 for 99284 and $31 for 99283—while claim volumes are large (99.7K, 63.4K, and 78.5K respectively), indicating a mix of high-volume lower-paid visits and fewer higher-acuity, higher-paid visits that together constitute most of Medicaid revenue.

The provider’s competitive standing is uneven by service: it is a major contributor for several inpatient and procedure codes but more of a high-volume peer for core ED codes. Notable outlier designations include 99223 as an "extreme outlier" (rank #4 of 94) and multiple codes flagged as "notably above typical" (e.g., 99232, 99214, 99239, 11043, 11042, 90791), which suggests pockets of above-typical state market share within an overall ED-anchored Medicaid practice.

From a payer-management and contracting perspective, the heavy dependence on ED E/M (60.6% of Medicaid revenue concentrated in 99284/99285/99283) combined with several inpatient and procedure outliers suggests revenue sensitivity to shifts in ED utilization, inpatient admission practices, or state Medicaid policy on ED-authorized reimbursement. Analysts should treat this profile as hospital-centered with concentrated Medicaid exposure and targeted high-percentile strengths in specific inpatient and procedural codes when assessing negotiation or risk-transfer strategies.

Medicaid: Complete Services Breakdown

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

81 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	99,650	$60	$5.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	63,400	$80	$4.9M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	78,530	$30	$2.4M
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…	64,130	$20	$1.4M
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…	49,850	$30	$1.3M
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…	42,030	$20	$840.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	13,710	$60	$794.9K
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…	23,730	$30	$664.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	7,810	$70	$554.2K
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…	15,000	$30	$480.1K

Showing 1–10 of 81

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

The Hospital Of Central Connecticut At New Britain General And Bradley — 7 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

81 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	15	130	520	$330	$5.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10	130	690	$180	$4.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	13	110	1,520	$140	$3.4M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	32	60	3,070	$100	$907.8K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	17	50	870	$510	$687.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	9	80	790	$240	$650K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	51	100	1,120	$120	$564.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	14	50	1,820	$100	$515.7K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	13	30	1,560	$160	$444.1K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	55	60	560	$380	$437.2K

Showing 1–10 of 81

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Hospital Of Central Connecticut At New Britain General And Bradley	CT	General Acute Care Hospital	$0	$220M
Hartford Hospital	CT	Surgery Physician	$0	$27.5M
Hartford Healthcare Medical Group, Inc	CT	Surgery Physician	$0	$22.4M
Edward Fitzpatrick	CT	Ophthalmology Physician	$757.6K	$0
Robert Malkin	CT	Cardiovascular Disease Physician	$337.7K	$0
Manny Katsetos	CT	Interventional Cardiology Physician	$246.1K	$0
Arun Agarwal	CT	Cardiovascular Disease Physician	$178.5K	$0
Haklai Lau	CT	Internal Medicine Physician	$172.2K	$0
Joshua Rock	CT	Cardiovascular Disease Physician	$171K	$0
Jonathan Winkler	CT	Cardiovascular Disease Physician	$170.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adora Home Care, LLC	CT	In Home Supportive Care Agency	$0	$17M
Starling Physicians, PLLC	CT	Clinical Medical Laboratory	$809.9K	$4.4M
Pediatric Dentistry And Orthodontics PLLC	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.9M
Liberty Integrated Behavioral Health, LLC	CT	Psychiatric/Mental Health Nurse Practitioner	$0	$2.1M
Liberty Home And Community Care LLC	CT	Home Health Agency	$0	$1.4M
Olivia Carter	CT	Psychiatric/Mental Health Nurse Practitioner	$20.8K	$1.2M
Rutland Dialysis LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M
New Britain Obstetrical & Gynecological Group PC	CT	Obstetrics & Gynecology Physician	$0	$1.1M
Eric Gorny	CT	Diagnostic Radiology Physician	$234.5K	$0
Robert Gendler	CT	Diagnostic Radiology Physician	$231K	$0

The Hospital Of Central Connecticut At New Britain General And Bradley — Billing Profile & Reimbursement Data

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The Hospital Of Central Connecticut At New Britain General And Bradley — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References