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.

Step Up Care PC LLC (NPI 1154884740)

Step Up Care PC LLC is a counselor provider located in Danielson, Connecticut. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Step Up Care PC LLC
Address	111 Westcott Rd
City	Danielson
State	CT
ZIP	06239
Taxonomy	Counselor
NPI Enumerated	April 10, 2019

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	76,410	$30	$2.1M
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…	156,090	$10	$1.1M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	48,240	$20	$916.5K
Q3014	Telehealth originating site facility fee	31,290	$10	$156.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	9,540	$20	$152.7K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	1,880	$40	$79K
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…	7,570	$10	$60.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1,760	$30	$52.6K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	220	$60	$12.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	6,480	$1	$6.5K

Showing 1–10 of 15

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

Step Up Care PC LLC — 6 of 14 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	5	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…	215	570	410	$50	$197.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	6	140	330	$20	$194.5K
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…	88	300	2,660	$20	$181.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	9	160	720	$10	$96.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	15	560	80	$80	$90.3K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	9	40	480	$30	$80.3K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	8	90	150	$40	$24K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	39	60	310	$30	$24K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	12	20	210	$30	$18.1K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gayle Klein	CT	Psychiatry Physician	$0	$1.3M
Samuel Asomaning	CT	Adult Health Nurse Practitioner	$675.6K	$0
Nelson Leach	CT	Family Nurse Practitioner	$254.3K	$0
Osman Qureshi	CT	Psychiatry Physician	$244.8K	$0
Samuel Wolde	TX	Clinical Psychologist	$197.6K	$0
Asante Mendes	CT	Psychiatry Physician	$196.7K	$0
Nicole Radi	MN	Family Nurse Practitioner	$183.1K	$0
Maria Zandonella	CT	Family Nurse Practitioner	$178.9K	$0
Savitha Chandramohan	CT	Psychiatric/Mental Health Nurse Practitioner	$170.1K	$0
Donalda Isidore	CT	Family Nurse Practitioner	$164.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kp Ambulance Corps, Inc,	CT	Ambulance	$433.7K	$2.6M
Inlight Professional Counseling Services LLC	CT	Marriage & Family Therapist	$0	$2.2M
Joseph Alessandro	CT	Hospice and Palliative Medicine (Family Medicine) Physician	$38.1K	$1.3M
Killingly Eye Care P.C.	CT	Corneal and Contact Management Optometrist	$0	$1.3M
Timothy Monahan	CT	Dermatology Physician	$139.6K	$0
Lorna Kay Murdock	CT	Nurse Practitioner	$38.4K	$0
Gemma Stirba	CT	Optometrist	$30.7K	$0

Step Up Care PC LLC — Billing Profile & Reimbursement Data

Sign up for Step Up Care PC LLC — Billing Profile & Reimbursement Data policy alerts

Step Up Care PC LLC — Billing Profile & Reimbursement Data

Sign up for Step Up Care PC LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References