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.

The Children's Center Of Hamden, Inc. (NPI 1225042542)

Field	Value
Entity Type	Organization
Organization	The Children's Center Of Hamden, Inc.
Address	1400 Whitney Ave
City	Hamden
State	CT
ZIP	06517
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicaid	$29.1M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $29.1M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operation in the available claims data. The absence of Medicare revenue indicates limited diversification across federal payers and a heavy dependence on state Medicaid funding.

Revenue is highly concentrated: the provider’s top three Medicaid codes account for 98.9% of total Medicaid revenue, with T2048 alone representing 86.9% and H2012 contributing 11.4% of the Medicaid revenue pool. This concentration signals that a very small number of program types drive nearly all billed Medicaid dollars for this entity.

The code mix points to a residential-centered service model: T2048 (long-term care residential with room and board, per diem) is dominant at $25.3M revenue and 44.3K claims, indicating the organization primarily operates as a longer-stay residential treatment program rather than an outpatient clinic. H2012 (behavioral health day treatment, per hour) at $3.3M and 51K claims suggests a substantial complementary day-treatment offering, while traditional psychotherapy CPTs (e.g., 90832 and 90834) account for only small, fee-for-service–level revenue.

Competitive standing on the residential code is modest: T2048 ranks #2 of 3 providers in-state and sits at the 50th percentile with a label of “typical, unremarkable volume for this code,” implying the provider is neither an outlier nor a dominant statewide operator for long-term residential per diems. In other words, the provider is a valid participant in the residential market but not uniquely large among the very small set of in-state peers billing this code.

In contrast, the provider’s day-treatment footprint is comparatively strong: H2012 ranks #2 of 14 providers in-state and is at the 92th percentile with a characterization of “notably above typical state volume,” indicating above-typical market share for hourly behavioral health day treatment within Connecticut. This suggests the organization has a competitive position among peers in delivering structured day services despite being modest on the residential-code ranking set.

Psychotherapy and evaluation codes are peripheral to the revenue base. For example, 90832 generated $176.8K (0.6% of Medicaid revenue) and ranks #126 of 417 providers in-state (70th percentile), while 90834 generated $166.4K (0.6%) and ranks #123 of 571 (79th percentile); these figures show standard, fee-for-service psychotherapy activity that does not materially move total Medicaid revenue.

The claims-level payment profile underscores the programmatic model: T2048 bills at $570 avg paid/claim across 44.3K claims, consistent with a per-diem residential payment reliance where census and length of stay drive revenue, whereas H2012 bills at $65 avg paid/claim across 51K claims, reflecting hourly day-treatment billing intensity. This mix implies operational sensitivity to bed occupancy and daily attendance rather than to high-volume individual psychotherapy reimbursement.

The provider’s NPI was enumerated on 2006-07-29 (~20 years ago), indicating long-term presence in the market; combined with the concentrated Medicaid revenue mix, this tenure suggests a stable, Medicaid-dependent residential/day-treatment operator rather than a newer entrant or a diversified multi-payer system. Analysts should treat this entity as a mature, Medicaid-centric provider whose financial and competitive dynamics will be driven mainly by per-diem residential and hourly day-treatment volumes.

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
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	44,310	$570	$25.3M
H2012	Behavioral health day treatment, per hour	51,010	$70	$3.3M
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…	3,760	$50	$176.8K
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…	2,920	$60	$166.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	810	$110	$92.8K
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…	460	$100	$45.2K
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…	110	$70	$7.8K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	510	$10	$4.1K

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

The Children's Center Of Hamden, 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
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	2	10	44,310	$590	$19.3M
H2012	Behavioral health day treatment, per hour	2	10	10,180	$70	$1.1M
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…	1,292	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…	1,364	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…	126	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…	123	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.	116	560	80	$80	$90.3K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	33	80	440	$10	$7.4K

Nearby Providers

Other providers in the same ZIP code as The Children's Center Of Hamden, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Margaret Chustecka Internal Medicine Of Greater New Haven	CT	Internal Medicine Physician	$0	$8.3M
Hamden Board Of Education	CT	Local Education Agency (LEA)	$0	$2.3M
Aaron Steen	CT	Dermatology Physician	$364.3K	$0
Martin Plavec	CT	Cardiovascular Disease Physician	$131.9K	$0
Roman Khodzinsky	CT	Internal Medicine Physician	$117.3K	$0
Jonathan Brier	CT	Cardiovascular Disease Physician	$108.6K	$0
Jeremy Nadelmann	CT	Cardiovascular Disease Physician	$105.1K	$0
Margaret Chustecki	CT	Internal Medicine Physician	$83.5K	$0
Gustavo Herrera-brito	CT	Adult Health Nurse Practitioner	$54.9K	$0
Joyce Wall	CT	Primary Care Nurse Practitioner	$35.7K	$0

The Children's Center Of Hamden, Inc. — Billing Profile & Reimbursement Data

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The Children's Center Of Hamden, 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

Nearby Providers

Frequently Asked Questions

References