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NPI 1184794257 · Hartford, CT · Substance Use Disorder Rehabilitation Clinic/Center
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Hartford Dispensary is a substance use disorder rehabilitation clinic/center provider located in Hartford, Connecticut. This profile covers 4 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Hartford Dispensary |
| Address | 345 Main St |
| City | Hartford |
| State | CT |
| ZIP | 06106 |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| NPI Enumerated | November 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $122.8M |
| Medicare | $1.6M |
Clinical/service-line profile: Billing is concentrated in medication-assisted treatment and on-site methadone dispensing services. Medicare and Medicaid top codes — G2067 (weekly methadone MAT bundle) and H0020 (methadone administration/service) — describe a program that bundles medication dispensing with counseling, group/individual therapy, and toxicology testing, indicating the provider operates as an opioid treatment program with on-site dispensing and integrated counseling services. This code mix is consistent with a substance use disorder rehabilitation clinic focused on methadone maintenance care.
Medicare revenue concentration: The provider's Medicare billed revenue is highly concentrated, with the precomputed top 3 Medicare codes accounting for 99.9% of Medicare revenue. G2067 alone represents 92.6% of Medicare revenue, supported by 6.8K claims and $1.5M revenue, while G2078 and G2076 make up the remainder, indicating nearly all Medicare activity is driven by methadone MAT bundle and take-home supply services.
Medicaid revenue concentration: Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with H0020 comprising 99.8% of Medicaid revenue ($118M from 10.7M claims). This shows Medicaid dollars are almost entirely driven by methadone administration/dispensing rather than a diverse set of outpatient services.
Payer mix and scale: This provider is effectively Medicaid-driven in scale — lifetime Medicaid revenue reported is $122.8M versus total Medicare revenue of $1.6M. The disparity indicates the organization’s operational scale and payer reliance are overwhelmingly anchored in Medicaid-funded methadone services rather than Medicare.
National competitive standing on Medicare MAT codes: On Medicare G2067 the provider ranks #8 of 830 nationally (99th percentile; notably above typical national volume for this code) and on G2078 ranks #7 of 493 (99th percentile; notably above typical national volume). These national-tier ranks signal the provider is a major Medicare participant in methadone MAT services and has volumes well above most peers for these specific opioid treatment program codes.
State competitive standing on Medicaid MAT codes: The provider is dominant in-state for methadone administration and related MAT codes — H0020 ranks #1 of 25 in-state (100th percentile; extreme outlier, far above typical state volume for this code), and G2067 and G2078 also rank #1 in-state (100th percentile; notably above typical state volume). This pattern identifies the entity as a primary statewide provider of methadone dispensing and associated services.
Unusual claim-volume vs payment pattern on Medicaid: Several Medicaid codes show very large claim counts with $0 average paid (for example, 90832: 150.5K claims with $0 avg paid; 98968: 15.4K claims with $0 avg paid; 90853: 5.6K claims with $0 avg paid). These high-volume, $0-payment entries suggest non-fee-for-service reporting or encounter-level submissions (e.g., encounter data, bundled payments, or administrative reporting) rather than typical paid FFS line-item billing, and should be treated as a reporting/payment-structure signal when comparing revenue-based activity.
Tenure and operational implication: The NPI has been enumerated since 2006-11-08 (~20 years ago), indicating a long-tenured operation. Combined with sustained, high-volume Medicaid billing and top-state rankings for methadone administration codes, the tenure supports the interpretation of an established opioid treatment program with long-standing service delivery in its market.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 6,780 | $220 | $1.5M |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 2,990 | $40 | $110.6K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a… | 30 | $190 | $5.5K |
| G2080 | Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code… | 40 | $30 | $1.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
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 |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 10,731,400 | $10 | $118M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 10,960 | $20 | $230.2K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 3,350 | $1 | $6.7K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 380 | $0 | $0 |
| 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… | 150,460 | $0 | $0 |
| 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… | 10 | $0 | $0 |
| 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… | 340 | $0 | $0 |
| 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… | 5,580 | $0 | $0 |
| 98968 | A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes… | 15,350 | $0 | $0 |
| 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… | 320 | $0 | $0 |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 1 | 30 | 668,110 | $10 | $15.3M |
| 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… | 69 | 70 | 3,710 | $120 | $1.6M |
| 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… | 807 | 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… | 1,062 | 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… | 1,478 | 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… | 6 | 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… | 571 | 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… | 112 | 300 | 2,660 | $20 | $181.1K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 154 | 560 | 80 | $80 | $90.3K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1 | 10 | 1,320 | $40 | $85.8K |
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Other providers in the same ZIP code as Hartford Dispensary, ranked by combined Medicare and Medicaid revenue.
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