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.

Lawrence And Memorial Hospital, Inc. (NPI 1073530879)

Field	Value
Entity Type	Organization
Organization	Lawrence And Memorial Hospital, Inc.
Address	365 Montauk Avenue
City	New London
State	CT
ZIP	06320
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

141 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	1,400	$100	$139.5K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	1,100	$120	$134.1K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	3,170	$40	$120.3K
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.	2,660	$40	$103.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	6,240	$20	$93.6K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	510	$160	$81.4K
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.	2,810	$30	$75.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	6,680	$10	$53.5K
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.	2,400	$20	$50.4K
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.	550	$90	$50.1K

Showing 1–10 of 141

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

Lawrence And Memorial Hospital, Inc. — 0 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

141 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	30	40	21,520	$90	$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.	54	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.	55	130	690	$180	$4.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	32	40	23,540	$140	$3.7M
G0384	Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	5	10	3,740	$540	$3.6M
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.	54	110	1,520	$140	$3.4M
G0382	Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	7	10	9,120	$160	$1.5M
G0383	Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	5	10	4,600	$210	$1.3M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	30	30	17,770	$50	$1.1M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	35	40	1,910	$190	$1.1M

Showing 1–10 of 141

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lawrence And Memorial Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lawrence And Memorial Hospital, Inc.	CT	General Acute Care Hospital	$0	$136.1M
Richard Thoms	CT	Orthopaedic Surgery Physician	$227.5K	$0
Peter Willis	RI	Family Medicine Physician	$68.8K	$66.7K
David Frederiks	CT	Hospitalist Physician	$84.5K	$0
Emma Cahoon	RI	Physician Assistant	$20.5K	$41.6K
Erik Enquist	RI	Urology Physician	$59.7K	$0
Danielle Miano	CT	Emergency Medicine Physician	$51.9K	$0
Peter Bertolozzi	CT	Emergency Medicine Physician	$51.2K	$0
Jonathan Quang	CT	Emergency Medicine Physician	$28.2K	$15.9K
Alan Lozano	CT	Physician Assistant	$25.3K	$0

Nearby Providers

Other providers in the same ZIP code as Lawrence And Memorial Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Child And Family Agency Of Southeastern Connecticut, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Connecticut Behavioral Health Assoc, P.C.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
City Of New London	CT	Land Ambulance	$326K	$4.7M
New London Public Schools	CT	Student in an Organized Health Care Education/Training Program	$0	$4.2M
Sound Community Services, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.7M
Helar Campos Md & Associates Family Medical Center, LLC	CT	Family Medicine Physician	$0	$3.5M
New London Dental Care, LLC	CT	General Practice Dentistry	$0	$2.9M
Dva Healthcare Of New London LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Child And Family Agency Of Southeastern Connecticut, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.8M
Ocean Radiology Associates PC	CT	Diagnostic Radiology Physician	$0	$1.7M

Lawrence And Memorial Hospital, Inc. — Billing Profile & Reimbursement Data

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Lawrence And Memorial Hospital, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References