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.

Child And Family Agency Of Southeastern Connecticut, Inc. (NPI 1215393327)

Field	Value
Entity Type	Organization
Organization	Child And Family Agency Of Southeastern Connecticut, Inc.
Address	7 Vauxhall St
City	New London
State	CT
ZIP	06320
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 5, 2016

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	8,280	$170	$1.4M
T1017	Targeted case management, each 15 minutes	2,770	$70	$185.4K
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…	1,480	$90	$133.6K
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…	1,210	$60	$75.3K
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…	200	$100	$19.4K
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…	50	$60	$2.9K
98967	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…	40	$60	$2.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$130	$1.8K

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

Child And Family Agency Of Southeastern Connecticut, Inc. — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	14	20	10,120	$220	$4.8M
T1017	Targeted case management, each 15 minutes	14	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…	1,108	1,590	740	$50	$331.8K
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…	795	2,180	850	$90	$202.1K
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…	191	570	410	$50	$197.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	516	560	80	$80	$90.3K
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…	117	140	160	$20	$12.2K
98967	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…	104	130	150	$20	$10.5K

Nearby Providers

Other providers in the same ZIP code as Child And Family Agency Of Southeastern Connecticut, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lawrence And Memorial Hospital, Inc.	CT	General Acute Care Hospital	$0	$136.1M
Child And Family Agency Of Southeastern Connecticut, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Connecticut Behavioral Health Assoc, P.C.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
City Of New London	CT	Land Ambulance	$326K	$4.7M
New London Public Schools	CT	Student in an Organized Health Care Education/Training Program	$0	$4.2M
Sound Community Services, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.7M
Helar Campos Md & Associates Family Medical Center, LLC	CT	Family Medicine Physician	$0	$3.5M
New London Dental Care, LLC	CT	General Practice Dentistry	$0	$2.9M
Dva Healthcare Of New London LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Ocean Radiology Associates PC	CT	Diagnostic Radiology Physician	$0	$1.7M

Child And Family Agency Of Southeastern Connecticut, Inc. — Billing Profile & Reimbursement Data

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Child And Family Agency Of Southeastern Connecticut, 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