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.

Vcare Family Practice, LLC (NPI 1215398920)

Vcare Family Practice, LLC is a multi-specialty clinic/center provider located in Vernon, Connecticut. This profile covers 0 Medicare and 29 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Vcare Family Practice, LLC
Address	145 Union Street
City	Vernon
State	CT
ZIP	06066
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	March 9, 2016

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	38,610	$80	$3.2M
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…	7,620	$60	$419K
99204	The provider sees a new 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 provider…	1,730	$130	$225.4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,020	$100	$106.2K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	890	$100	$91.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	230	$130	$30.7K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	2,130	$10	$25.5K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	2,760	$10	$16.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	510	$30	$15.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	7,600	$1	$15.2K

Showing 1–10 of 29

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

Vcare Family Practice, LLC — 1 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	40	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…	240	1,710	750	$30	$243.3K
99203	The provider sees a new 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 provider…	345	480	200	$60	$112.1K
99204	The provider sees a new 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 provider…	58	480	150	$90	$100.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	287	380	220	$70	$99.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	142	170	410	$70	$98K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	88	200	530	$20	$69.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	28	150	190	$50	$43.5K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	136	290	470	$10	$41.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	25	140	150	$60	$38.6K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarah Yiznitsky	CT	Family Nurse Practitioner	$171.6K	$0
Lutfullah Baskoy	IN	Preventive Medicine/Occupational Environmental Medicine Physician	$109.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Rockville Hospital, Inc.	CT	General Acute Care Hospital	$0	$30M
Babar Khan	CT	General Practice Dentistry	$0	$3.8M
4 Your Peace Of Mind, LLC	CT	Home Health Agency	$0	$3.8M
Vernon Public Schools	CT	Local Education Agency (LEA)	$0	$3.5M
Hockanum Valley Community Council, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.1M
Strong Foundations	CT	Behavior Analyst	$0	$2.5M
Town Of Vernon	CT	Land Ambulance	$339.8K	$1.8M
Prospect Echn Home Health, Inc.	CT	Home Health Agency	$0	$1.7M
Ctuc01	CT	Urgent Care Clinic/Center	$0	$1.7M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$1.3M

Vcare Family Practice, LLC — Billing Profile & Reimbursement Data

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Vcare Family Practice, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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