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.

Middle Ct Emergency Physicians LLC (NPI 1144585357)

Field	Value
Entity Type	Organization
Organization	Middle Ct Emergency Physicians LLC
Address	56 Franklin St
City	Waterbury
State	CT
ZIP	06706
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 13, 2012

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	56,020	$70	$3.9M
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.	28,250	$50	$1.4M
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.	44,400	$30	$1.2M
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…	2,790	$80	$217.7K
99053	The provider renders overnight services at a 24 hour facility.	16,330	$10	$81.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	9,180	$1	$27.5K
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.	10	$20	$290
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…	10	$10	$60
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	10	$1	$50

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

Middle Ct Emergency Physicians LLC — 0 of 9 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

9 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.	16	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.	34	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.	26	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.	56	60	3,070	$100	$907.8K
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…	24	80	790	$240	$650K
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…	128	130	600	$30	$329.2K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	99	100	1,920	$10	$181.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	23	70	1,230	$1	$72K
99053	The provider renders overnight services at a 24 hour facility.	2	10	260	$10	$55.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Middle Ct Emergency Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gholamreza Sadeghipour Roodsari	CT	Emergency Medicine Physician	$48.7K	$0

Nearby Providers

Other providers in the same ZIP code as Middle Ct Emergency Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Mary's Hospital, Inc.	CT	General Acute Care Hospital	$0	$163.2M
Trinity Health Of New England Emergency Medical Services, Inc.	CT	Ambulance	$2.5M	$13M
Franklin Medical Group, PC	CT	Internal Medicine Physician	$0	$13.5M
Campion Ambulance Service Inc	CT	Ambulance	$0	$4.5M
Naugatuck Valley Radiological Associates PC	CT	Diagnostic Radiology Physician	$0	$2.1M
Brass Mill Mall Dental L.L.P	CT	General Practice Dentistry	$0	$1.3M
Joseph Pruner	CT	Internal Medicine Physician	$211.3K	$0
Monica Hughes	CT	Adult Health Nurse Practitioner	$176.2K	$0
Sarah Gao	CT	Therapeutic Radiology Physician	$169.7K	$0
Reza Pakdaman	CT	Diagnostic Radiology Physician	$160.6K	$0

Middle Ct Emergency Physicians LLC — Billing Profile & Reimbursement Data

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Middle Ct Emergency Physicians LLC — 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