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 Dispensary (NPI 1104949973)

Key Findings

Field	Value
Entity Type	Organization
Organization	Hartford Dispensary
Address	345 Main St
City	Hartford
State	CT
ZIP	06106
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 9, 2007

Payer Source	Total Paid
Medicaid	$26.1M
Medicare	$0

This provider has no Medicare billing on file and reports $26.1M in lifetime Medicaid revenue, making it effectively a Medicaid-focused, single-payer operation in the available claims data. Analysts should treat Medicaid as the dominant payer when modeling revenue exposure or network leverage for this entity.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 90.8% of this provider's total Medicaid revenue, with H0015 alone generating $21.6M (83.0% of this provider's total Medicaid revenue). That concentration indicates the provider’s financial performance is heavily dependent on a small set of services rather than a broad mix of outpatient billings.

The coding mix — led by H0015 (intensive outpatient alcohol and/or drug services) plus large volumes of group and individual psychotherapy codes such as 90853 (34.1K claims) and 90832 (21.6K claims) — signals an operational focus on intensive outpatient substance-use treatment programs that combine group therapy, counseling, crisis intervention, and individual psychotherapy. The presence of high-volume E/M codes alongside psychotherapy suggests integrated behavioral-health care with both therapy and medical evaluation components.

H0015 is a statewide outlier: the provider ranks #2 of 74 in-state and sits in the 99th percentile for that code, described in the source as an "extreme outlier" and far above typical state volume. This positions the organization as a major, possibly dominant supplier of intensive outpatient substance-use treatment in Connecticut for Medicaid patients.

By contrast, the two other top revenue drivers are typical in the state peer set: 99214 (14.4K claims, $1.4M revenue) ranks #122 of 1589 providers (92nd percentile) and 99213 (11.3K claims, $699.3K revenue) ranks #176 of 1714 providers (90th percentile). These rankings indicate routine, unremarkable participation in office/outpatient E/M services relative to in-state peers despite being among the provider’s top Medicaid revenue sources.

Several opioid-treatment-program and MAT-related HCPCS codes appear with nonzero claim counts but $0 avg paid/claim and $0 revenue (for example, G2067: 1.6K claims $0 avg paid/claim $0 revenue; G2078: 694 claims $0 avg paid/claim $0 revenue; G2080: 42 claims $0 avg paid/claim $0 revenue). That pattern suggests administrative or bundled reporting for medication-assisted treatment services in the dataset (claims recorded without discrete paid amounts), which warrants follow-up with billing or contractual data to understand reimbursement flow.

High volume behavioral-health activity extends beyond H0015 into group psychotherapy (90853: $682.3K revenue, 34.1K claims) and longer individual psychotherapy sessions (90837: 4.2K claims, $350K revenue), indicating the provider operates substantial group-based programming alongside individual care. This mix is consistent with intensive outpatient program structures that rely on group sessions for treatment capacity and per-diem IOP billing supplemented by individual therapy.

The provider’s NPI was enumerated 2007-04-09 (~19 years ago), indicating an established presence in the market; combined with the concentrated Medicaid revenue and the extreme outlier ranking for H0015, this tenure supports the interpretation that the organization has long-standing specialization in intensive outpatient substance-use services within the Connecticut Medicaid network.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	196,800	$110	$21.6M
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…	14,370	$90	$1.4M
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…	11,280	$60	$699.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	34,120	$20	$682.3K
S9480	Intensive outpatient psychiatric services, per diem	3,550	$130	$447.8K
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…	21,590	$20	$367K
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…	4,220	$80	$350K
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…	880	$150	$131.7K
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	$90	$125.8K
99205	The provider sees a new 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 provider…	590	$150	$88.9K

Showing 1–10 of 21

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 Dispensary — 1 of 17 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2013	Psychiatric health facility service, per diem	5	10	4,060	$140	$2.3M
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…	2	70	3,710	$120	$1.6M
S9480	Intensive outpatient psychiatric services, per diem	35	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…	122	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…	176	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…	322	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…	37	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…	311	570	410	$50	$197.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	20	300	2,660	$20	$181.1K
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…	94	480	200	$60	$112.1K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Children's Medical Center	CT	Children's Hospital	$0	$248.8M
Connecticut Children's Specialty Group, Inc.	CT	Pediatrics Physician	$0	$59.8M
Hartford Healthcare Medical Group Specialists, PLLC	CT	Surgery Physician	$0	$46M
Charter Oak Health Center, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$42.5M
Aetna Ambulance Service, Inc	CT	Land Ambulance	$2.9M	$22.2M
Home Care Vna, LLC	CT	Home Health Agency	$0	$12.4M
Connecticut Gi PLLC	CT	Gastroenterology Physician	$0	$12M
Charter Oak Health Center, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$8M
Dierks Dialysis LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.2M
Charter Oak Health Center	CT	Federally Qualified Health Center (FQHC)	$0	$3.9M

Hartford Dispensary — 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