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.

Hartford Healthcare Urgent Care Centers, LLC (NPI 1093239683)

Key Findings

Field	Value
Entity Type	Organization
Organization	Hartford Healthcare Urgent Care Centers, LLC
Address	385 W Main St
City	Avon
State	CT
ZIP	06001
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	July 26, 2017

Payer Source	Total Paid
Medicaid	$23.4M
Medicare	$0

HARTFORD HEALTHCARE URGENT CARE CENTERS, LLC shows essentially single-payer activity: there is no Medicare billing on file while Medicaid revenue totals $23.4M, indicating the provider’s Medicaid business constitutes its measurable public-payer footprint. The absence of Medicare claims suggests the organization either does not enroll in Medicare for these sites or its Medicare volume is below reporting thresholds, making Medicaid the primary source for publicly reported fee-for-service revenue.

Revenue concentration is heavily skewed to a very small set of visit and testing codes: the top three Medicaid codes by revenue (99213, 99203, and 87635) account for 68.1% of the provider’s total Medicaid revenue. This concentration signals that routine E&M visits for established and new patients plus high-volume SARS–CoV–2 NAAT testing are the dominant revenue drivers for the clinic network.

The procedural mix and top codes point to an urgent care–style operating model focused on low- to moderate-complexity ambulatory visits and high-volume point-of-care infectious disease testing. High volumes of 99213 and 99203 (combined making up over half of Medicaid revenue) indicate high throughput of both established and new patient office visits, while 87635 and 87811 volumes show a substantial testing operation for SARS–CoV–2. Together these suggest walk-in, episodic care with integrated on-site diagnostic testing rather than specialty or chronic-care management.

Competitive standing within Connecticut for core codes is exceptionally strong: the provider ranks at the 100th percentile and is labeled an "extreme outlier" for several high-volume codes including 99203 (ranks #1 of 475), 87635 (ranks #1 of 140), 87811 (ranks #1 of 65), and 99213 (ranks #7 of 1714, 100th percentile). These rank/percentile positions indicate the organization is a dominant statewide provider for both common urgent-care E&M visit codes and COVID-19 testing during the reporting period.

While several lower-revenue codes are more typical or unremarkable in volume, the provider’s high ranking on nasopharyngeal/antigen and NAAT COVID tests (87635, 87811) shows a business adaptation to pandemic-era testing demand; these codes alone represent $3.3M and $1.6M respectively, together accounting for a meaningful share of Medicaid revenue. The strong dependence on testing-related revenue suggests sensitivity to changes in testing demand or reimbursement policy.

The facility demonstrates very high operational scale in visit-level codes by raw claim counts: for example, 237.5K claims for 99213 and 118.6K claims for 99203 reflect sustained, large-volume ambulatory throughput typical of multi-site urgent care operations. These volumes, combined with the provider’s NPI enumeration date of 2017-07-26 (~9 years ago), imply rapid scaling to become a major Medicaid ambulatory access point within a relatively short tenure.

Although the top E&M codes (99213, 99214, 99203, 99202) drive the bulk of revenue, several ancillary services (point-of-care strep and influenza tests, chest x-ray 71046, pregnancy test 81025) appear at lower revenue levels and often rank as extreme outliers in-state for volume (e.g., 87880, 87804, 87880 ranks #1 of 245). This pattern is consistent with a high-throughput urgent care that bundles rapid diagnostics with face-to-face visits rather than relying on higher-complexity procedures.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	237,500	$30	$7.6M
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…	118,590	$40	$5.1M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	91,020	$40	$3.3M
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…	71,920	$40	$2.7M
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	65,870	$30	$1.6M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	63,620	$20	$1.3M
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	35,780	$30	$1.2M
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	34,770	$10	$243.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	32,540	$10	$227.8K
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…	920	$70	$62.4K

Showing 1–10 of 23

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

Hartford Healthcare Urgent Care Centers, LLC — 10 of 21 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

23 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…	22	1,590	740	$50	$331.8K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	73	130	600	$30	$329.2K
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…	7	1,710	750	$30	$243.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1	140	780	$40	$163.2K
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…	1	480	200	$60	$112.1K
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…	91	480	150	$90	$100.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	183	200	530	$20	$69.3K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	1	70	380	$30	$65.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1	180	120	$40	$40.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2	580	230	$20	$32.8K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hartmut Doerwaldt	CT	Family Medicine Physician	$43.9K	$0
Jason Shapiro	CT	Emergency Medicine Physician	$24K	$820
Michele Cooper	CT	Medical Physician Assistant	$22.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health Consulting Services LLC	CT	Professional Counselor	$0	$4.9M
Harvest Healthcare LLC	CT	Clinical Social Worker	$0	$2.5M
Michael Shiembob	CT	Optometrist	$8.7K	$1.7M
Creative Development, LLC	CT	Specialist	$0	$1.2M
Yousong Wang	CT	General Practice Physician	$861.3K	$0
Sadaf Waqar	CT	Dermatology Physician	$652.8K	$0
Evan Schiff	CT	Internal Medicine Physician	$204K	$0
Savitha Chandramohan	CT	Psychiatric/Mental Health Nurse Practitioner	$170.1K	$0
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$164.9K	$0
Yvette Bailey	CT	Diagnostic Radiology Physician	$100K	$0

Hartford Healthcare Urgent Care Centers, LLC — Billing Profile & Reimbursement Data

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Hartford Healthcare Urgent Care Centers, LLC — 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