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.

Middlesex Hospital (NPI 1194781328)

Field	Value
Entity Type	Organization
Organization	Middlesex Hospital
Address	117 Main Street Ext
City	Middletown
State	CT
ZIP	06457
Taxonomy	Home Health Agency
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1004	Services of a qualified nursing aide, up to 15 minutes	83,130	$20	$1.5M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	15,300	$70	$1M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	4,350	$40	$156.5K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	2,140	$60	$126.4K
T1001	Nursing assessment / evaluation	800	$70	$59.2K

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

Middlesex Hospital — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	48	70	5,660	$150	$3.6M
T1004	Services of a qualified nursing aide, up to 15 minutes	8	60	26,810	$40	$2.8M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	38	80	14,190	$80	$2.7M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	31	60	4,250	$50	$511.6K
T1001	Nursing assessment / evaluation	32	60	1,000	$60	$140.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Middlesex Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Middlesex Hospital	CT	General Acute Care Hospital	$0	$116.1M
Middlesex Hospital	CT	Family Nurse Practitioner	$0	$7.5M
Middlesex Hospital	CT	Land Ambulance	$1.4M	$2M
Middlesex Hospital	CT	Family Medicine Physician	$0	$2.7M
Matthew Moyer	CT	Primary Care Nurse Practitioner	$220.7K	$0
Bikash Chapagain	CA	Nephrology Physician	$181.3K	$0
George Khouri	NC	Neurology Physician	$139.3K	$0
Meredith Lindner	CT	Internal Medicine Physician	$123K	$0
Zhenghao Zhang	MA	Internal Medicine Physician	$105.6K	$0
Jorge Donado	CT	Hospitalist Physician	$100.7K	$530

Nearby Providers

Other providers in the same ZIP code as Middlesex Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Inc	CT	Federally Qualified Health Center (FQHC)	$0	$533.4M
Rushford Center Inc	CT	Substance Abuse Rehabilitation Facility	$0	$23M
Pursuecare, LLC	CT	Addiction Medicine (Preventive Medicine) Physician	$0	$9.8M
Gilead Community Services, Inc.	CT	Adult Mental Health Clinic/Center	$0	$8.9M
Mhs Primary Care, Inc	CT	Family Medicine Physician	$0	$5.4M
City Of Middletown	CT	Local Education Agency (LEA)	$0	$4.2M
Surgi-care, Inc	CT	Prosthetic/Orthotic Supplier	$0	$4.2M
Unison Health Services, Inc.	CT	Home Health Agency	$0	$3.8M
Healthdrive Behavioral Health Services, PLLC	CT	Geriatric Psychiatry Physician	$0	$3.2M
Dme Living Well, LLC	CT	Oxygen Equipment & Supplies (DME)	$0	$2.5M

Middlesex Hospital — Billing Profile & Reimbursement Data

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Middlesex Hospital — 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