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.

Day Kimball Healthcare, Inc. (NPI 1205056371)

Key Findings

Field	Value
Entity Type	Organization
Organization	Day Kimball Healthcare, Inc.
Address	320 Pomfret St
City	Putnam
State	CT
ZIP	06260
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 30, 2007

Payer Source	Total Paid
Medicaid	$48.7M
Medicare	$0

DAY KIMBALL HEALTHCARE reports no Medicare billing on file and $48.7M in lifetime Medicaid revenue, meaning the available claims dataset effectively reflects a single-payer (Medicaid) revenue profile for this provider. The provider’s NPI was enumerated on 2007-04-30 (~19 years ago), indicating nearly two decades of activity under the current identifier.

Revenue is highly concentrated in emergency department evaluation-and-management services: the top three Medicaid codes 99285, 99284, and 99283 together account for 47.8% of the provider’s Medicaid revenue. Individually these codes generated $7.3M (99285, 21.3%), $4.7M (99284, 13.7%), and $4.4M (99283, 12.8%), underscoring that high-acuity and routine ED visits are the single largest revenue driver for this hospital.

The code mix is consistent with an acute care hospital with a busy emergency department and on-site outpatient services: high claim counts for ED E/M (99285: 18.9K claims; 99284: 17.8K claims; 99283: 22.5K claims) are accompanied by substantial imaging and diagnostic procedure volumes (74177 CT abdomen/pelvis $921.9K, 70450 CT head $518K, 71046 chest x‑ray $567.4K) and COVID testing (U0003: 10K claims, $772.9K). This combination indicates capacity to handle urgent medical workups and same‑day imaging/diagnostic throughput.

Outpatient therapeutic and behavioral health services represent a meaningful secondary service line: physical therapy code 97110 shows 59.5K claims and $3M revenue and manual therapy 97140 accounts for $470.8K, while psychotherapy 90834 has 31K claims and $1.2M revenue. The dataset labels 97110 at the 95th percentile ("typical, unremarkable volume for this code") and 90834 at the 97th percentile ("notably above typical state volume for this code"), suggesting rehab and behavioral health are substantial and relatively stronger offerings for this provider compared with peers.

Infusion and procedural medication administration is another distinct revenue stream: 96374 generated $1.5M (11.9K claims, 4.3% of Medicaid revenue) and 96365 $1.3M (10.6K claims, 3.8% of Medicaid revenue), with additional IV administration and fluid codes (96361, 96360) contributing smaller but material amounts. These volumes imply an established outpatient infusion/infusion‑adjacent workflow serving both acute and ongoing treatment needs.

Procedural and specialty diagnostics (endoscopy/colonoscopy and sleep studies) contribute nontrivial revenue and reflect full hospital outpatient capability: 45380 colonoscopy produced $814.4K, 43239 EGD biopsies $571.9K, and 95810 polysomnography $747.5K. Statewide ranks for these codes are generally mid‑range (for example 45380 ranks #23 of 66, 66th percentile; 95810 ranks #22 of 52, 59th percentile), indicating the provider participates meaningfully but is not a dominant statewide leader in these procedural areas.

Statewide competitive standing is mixed by service line: emergency department E/M codes place the provider in the ~68th–72nd percentile range (99285 ranks #37 of 129, 72nd percentile; 99284 ranks #41 of 127, 68th percentile; 99283 ranks #35 of 114, 70th percentile), characterizing it as a moderate to above‑median ED participant rather than a statewide outlier. By contrast, psychotherapy (90834) is marked as "notably above typical state volume for this code," highlighting behavioral health as a relative strength within the Medicaid population served.

Medicaid: Complete Services Breakdown

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

407 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.	18,920	$390	$7.3M
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.	17,830	$260	$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.	22,510	$190	$4.4M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	59,520	$50	$3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,890	$120	$1.5M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	10,580	$120	$1.3M
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…	31,050	$40	$1.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	18,250	$50	$949.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5,270	$180	$921.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,320	$620	$814.4K

Showing 1–10 of 407

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

Day Kimball Healthcare, Inc. — 2 of 25 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

407 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20	40	21,520	$90	$8M
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.	37	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.	41	130	690	$180	$4.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	24	40	23,540	$140	$3.7M
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.	35	110	1,520	$140	$3.4M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	21	30	17,770	$50	$1.1M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	22	40	1,910	$190	$1.1M
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	22	30	7,070	$130	$1.1M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	13	40	5,360	$120	$1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	16	50	3,340	$60	$1M

Showing 1–10 of 407

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Day Kimball Medical Group Inc	CT	Family Medicine Physician	$0	$11.9M
Joseph Alessandro	CT	Hospice and Palliative Medicine (Family Medicine) Physician	$38.1K	$1.3M
Dinesh Kapur	CT	Hematology & Oncology Physician	$494.8K	$0
Jie Yang	CT	Hematology & Oncology Physician	$389.2K	$0
Vanessa Johnson	NC	Hematology & Oncology Physician	$378.8K	$0
Mandeep Dhami	CT	Hematology & Oncology Physician	$331.4K	$0
Craig Korbin	CT	Diagnostic Radiology Physician	$79.4K	$1.5K
Angela Taber	PA	Hematology & Oncology Physician	$69.6K	$230
Prasanta Karak	CT	Diagnostic Radiology Physician	$54.1K	$0
Anthony Chieffalo	CT	Internal Medicine Physician	$53.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nes Medical Services Of Northern Connecticut, P.C.	CT	Emergency Medicine Physician	$0	$3M
New England Family Medical And Walk-in Center, LLC	CT	Family Medicine Physician	$0	$2M
Advanced Orthodontics,llc	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M
Day Kimball Medical Group Inc	CT	Nurse Practitioner	$0	$1.4M
Putnam Board Of Education	CT	Local Education Agency (LEA)	$0	$1.4M
Ct Therapy Works LLC	CT	Clinical Social Worker	$0	$1.1M
Putnam Ems Ambulance Service Inc	CT	Ambulance	$195.6K	$796.5K
James Dean	CT	Ophthalmology Physician	$568.6K	$0
Brian Baxt	CT	Phlebology Physician	$286.9K	$0
Joseph Botta	CT	Internal Medicine Physician	$192.6K	$0

Day Kimball Healthcare, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References