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.

Intercommunity, Inc. (NPI 1073548533)

Field	Value
Entity Type	Organization
Organization	Intercommunity, Inc.
Address	281 Main Street
City	East Hartford
State	CT
ZIP	06118
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$27.1M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reported $27.1M in Medicaid revenue, indicating the organization operates as an effectively Medicaid-focused provider rather than a dual-payor practice. The absence of Medicare activity suggests payer mix and operational dependencies are concentrated on state Medicaid reimbursement streams.

Revenue is highly concentrated in a small set of substance-use treatment codes: the precomputed top three Medicaid codes (H2036, H0011, H2034) account for 83.9% of the provider's total Medicaid revenue. The three leading lines—H2036 ($12.3M, 45.5% of total), H0011 ($6.9M, 25.6% of total), and H2034 ($3.5M, 12.8% of total)—drive the vast majority of reported Medicaid dollars.

The code mix shows this is primarily an addiction-treatment operation with a strong residential and detox emphasis: H2036 (Alcohol and/or other drug treatment program, per diem) and H0011 (acute detoxification residential) together represent the largest revenue streams, supplemented by halfway-house services under H2034. The presence of H0015 (intensive outpatient) and H2015 (comprehensive community support services) indicates a blended continuum of care spanning inpatient/residential, intensive outpatient, and community-based wraparound supports.

Competitive standing for the top SUD/residential codes is meaningful but not monopolistic: H2036 ranks #4 of 20 in-state (84th percentile; typical, unremarkable volume for this code), H0011 ranks #2 of 7 (83th percentile; typical, unremarkable volume for this code), and H2034 ranks #3 of 4 (33th percentile; typical, unremarkable volume for this code). These ranks position the provider as a significant regional participant in residential and detox services, though the percentiles labeled "typical, unremarkable" suggest their volume is notable but not an extreme outlier among peers.

The provider also shows above-typical statewide activity in several behavioral-health and support services, implying integration of psychiatric care into its service mix: 90791 (psychiatric evaluation) appears with 10.1K claims and $989K revenue, ranking #14 of 559 (98th percentile; notably above typical state volume), 90837 (psychotherapy, 53+ minutes) has 12.2K claims and $936.9K revenue, ranking #62 of 2175 (97th percentile; notably above typical state volume), and H2015 ranks #2 of 15 (93th percentile; notably above typical state volume). This pattern indicates the provider is a major in-state source for psychiatric evaluation, longer psychotherapy sessions, and community support services.

Administrative or reimbursement nuance is evident in high-claim, zero-paid codes: H0047 shows 14.1K claims with $0 avg paid/claim and $0 revenue and ranks #2 of 17 (94th percentile; notably above typical state volume), while T1015 has 4K claims with $0 avg paid/claim and $0 revenue and ranks #34 of 73 (54th percentile; typical, unremarkable volume). The combination of many zero-paid claims and high rank suggests billing practices that trigger claims activity without direct fee-for-service payment (for example, bundled payments, reporting requirements, or non-covered encounters) and deserves administrative review when assessing financial flows.

The provider's long-tenure NPI (enumerated 2006-07-12, ~20 years ago) suggests organizational stability and sustained participation in the Medicaid market, which helps explain accumulated volume in both residential SUD programs and downstream behavioral-health services. Established presence is consistent with the breadth of service lines reported and the elevated state-percentile standings across several psychiatric and support-service codes.

From a risk/opportunity perspective, the extreme revenue concentration in three SUD codes (H2036, H0011, H2034 account for 83.9% of Medicaid revenue) creates vulnerability to changes in Medicaid policy, per-diem rates, or program authorization for residential/detox services. At the same time, existing strengths in psychiatric evaluation and psychotherapy (90791 and 90837 both notably above typical state volume) present a plausible avenue to diversify revenue mix within Medicaid without relying solely on per-diem residential reimbursement.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	44,700	$280	$12.3M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	17,160	$400	$6.9M
H2034	Alcohol and/or drug abuse halfway house services, per diem	10,800	$320	$3.5M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	10,500	$120	$1.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10,090	$100	$989K
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…	12,170	$80	$936.9K
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…	7,200	$60	$439.4K
H2015	Comprehensive community support services, per 15 minutes	5,280	$50	$243K
S9480	Intensive outpatient psychiatric services, per diem	1,880	$130	$238.8K
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…	6,730	$30	$215.5K

Showing 1–10 of 17

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

Intercommunity, Inc. — 2 of 15 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	34	70	830	$150	$24M
H2036	Alcohol and/or other drug treatment program, per diem	4	20	13,690	$300	$6.9M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	2	10	15,610	$490	$6.9M
H2034	Alcohol and/or drug abuse halfway house services, per diem	3	10	11,200	$320	$4.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	17	70	3,710	$120	$1.6M
S9480	Intensive outpatient psychiatric services, per diem	41	60	5,640	$110	$1.3M
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…	233	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…	628	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…	62	2,180	850	$90	$202.1K
H2015	Comprehensive community support services, per 15 minutes	2	20	1,010	$110	$201.9K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intercommunity, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$56M
Jill Duboff-jacomini	CT	Psychiatric/Mental Health Nurse Practitioner	$115.2K	$0
Felipe Hernandez	CT	Clinical Social Worker	$68K	$0

Nearby Providers

Other providers in the same ZIP code as Intercommunity, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nursing Services, Inc.	CT	Home Health Agency	$0	$10.8M
Silver Lane Medical Group	CT	Family Medicine Physician	$0	$4.3M
Tooth Time Dentistry, LLC	CT	General Practice Dentistry	$0	$1.6M
David Mintell	CT	Internal Medicine Physician	$109.9K	$0
Tanya Bilchik	CT	Neurology Physician	$46.4K	$0

Intercommunity, Inc. — Billing Profile & Reimbursement Data

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Intercommunity, Inc. — 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