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.

Community Mental Health Affiliates Inc (NPI 1174624423)

Field	Value
Entity Type	Organization
Organization	Community Mental Health Affiliates Inc
Address	233 Main St
City	New Britain
State	CT
ZIP	06051
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$18.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	59,470	$70	$4.4M
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…	50,800	$60	$2.9M
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…	43,270	$70	$2.8M
S9480	Intensive outpatient psychiatric services, per diem	15,880	$130	$2M
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…	50,600	$20	$1.1M
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…	11,250	$80	$922.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,500	$120	$870.1K
H2019	Therapeutic behavioral services, per 15 minutes	7,980	$100	$798.4K
T1017	Targeted case management, each 15 minutes	8,910	$80	$748.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	5,510	$110	$601K

Showing 1–10 of 20

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

Community Mental Health Affiliates Inc — 6 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	15	20	10,120	$220	$4.8M
S9480	Intensive outpatient psychiatric services, per diem	12	60	5,640	$110	$1.3M
H2012	Behavioral health day treatment, per hour	10	10	10,180	$70	$1.1M
T1017	Targeted case management, each 15 minutes	9	20	4,860	$100	$965.6K
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…	142	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…	53	1,710	750	$30	$243.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	23	150	290	$80	$206.3K
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…	485	2,180	850	$90	$202.1K
H2015	Comprehensive community support services, per 15 minutes	9	20	1,010	$110	$201.9K
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…	17	420	1,230	$20	$199.3K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Community Mental Health Affiliates Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wolcott Street Dental-1, PC	CT	Dentist	$0	$15.2M
New Britain Emergency Medical Services, Inc	CT	Land Ambulance	$733.8K	$12.6M
New Britain School District	CT	Local Education Agency (LEA)	$0	$12.7M
Afc Physicians Of Connecticut, PC	CT	Urgent Care Clinic/Center	$0	$6.7M
Doctor Pavano & Associates	CT	Optometrist	$0	$4.1M
Your Eyes Of New Britain	CT	Optician	$0	$3.4M
B & R Dental, LLC	CT	General Practice Dentistry	$0	$2.8M
Today's Youth, LLC	CT	Community/Behavioral Health Agency	$0	$2.3M
Robert Dess	CT	Dentist	$0	$2M
Alpha Dental PLLC	CT	Dentist	$0	$1.9M

Community Mental Health Affiliates Inc — Billing Profile & Reimbursement Data

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Community Mental Health Affiliates Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References