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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCharter Oak Health Center
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    Charter Oak Health Center — Billing Profile & Reimbursement Data

    NPI 1225154446 · Hartford, CT · Federally Qualified Health Center (FQHC)

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    Charter Oak Health Center is a federally qualified health center (fqhc) provider located in Hartford, Connecticut. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCharter Oak Health Center
    Address21 Grand St
    CityHartford
    StateCT
    ZIP06106
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMarch 21, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive31,430$130$3.9M
    D0120Periodic oral evaluation - established patient4,000$0$0
    D0140Limited oral evaluation – problem focused5,800$0$0
    D0150Comprehensive oral evaluation – new or established patient640$0$0
    D0210Intraoral - complete series of radiographic images640$0$0
    D0220Intraoral - periapical first radiographic image70$0$0
    D0272N/A630$0$0
    D0274N/A600$0$0
    D0330N/A80$0$0
    D0602N/A70$0$0

    Showing 1–10 of 19

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Connecticut median

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive2870830$150$24M
    D2392Post 2 surface resin‑based composite330390620$80$144.8K
    D1120Prophylaxis–child78660570$40$120.7K
    D2391Resin‑based composite – one surface, posterior208330430$60$89.4K
    D0120Periodic oral evaluation - established patient148730700$30$80.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)99210370$70$79.3K
    D1351Sealant - per tooth89190580$30$70K
    D1208Topical application of fluoride - excluding varnish104560740$20$66.4K
    D0330N/A230330250$50$53.6K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth53470730$30$51.5K

    Showing 1–10 of 19

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Charter Oak Health Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charter Oak Health Center, Inc.CTFederally Qualified Health Center (FQHC)$0$42.5M
    Charter Oak Health Center, Inc.CTFederally Qualified Health Center (FQHC)$0$8M
    Robert SmithCTSpecialist$33.8K$1.1M
    Landry DeuboueMDPrimary Care Nurse Practitioner$749.9K$0
    Abeeda MehwashCTOptometrist$134.9K$0
    Arpad FejosCTNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician$86K$0
    Brimal PatelCTFamily Medicine Physician$76.8K$0
    Japheth MongareCTFoot & Ankle Surgery Podiatrist$68.5K$0
    Maria Della PortaCTOptometrist$26.4K$0
    Helen TangMAPhysician Assistant$13.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Charter Oak Health Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Connecticut Children's Medical CenterCTChildren's Hospital$0$248.8M
    Hartford DispensaryCTSubstance Use Disorder Rehabilitation Clinic/Center$1.6M$122.8M
    Connecticut Children's Specialty Group, Inc.CTPediatrics Physician$0$59.8M
    Hartford Healthcare Medical Group Specialists, PLLCCTSurgery Physician$0$46M
    Hartford DispensaryCTMental Health Clinic/Center (Including Community Mental Health Center)$0$26.1M
    Aetna Ambulance Service, IncCTLand Ambulance$2.9M$22.2M
    Home Care Vna, LLCCTHome Health Agency$0$12.4M
    Connecticut Gi PLLCCTGastroenterology Physician$0$12M
    Dierks Dialysis LLCCTEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.2M
    Consulting Cardiologists, P.C.CTCardiovascular Disease Physician$0$3.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Connecticut Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Charter Oak Health Center — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut