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.

Southwestern Connecticut Agency On Aging (NPI 1225163876)

Field	Value
Entity Type	Organization
Organization	Southwestern Connecticut Agency On Aging
Address	10 Middle St
City	Bridgeport
State	CT
ZIP	06604
Taxonomy	Case Management Agency
NPI Enumerated	February 23, 2007

Payer Source	Total Paid
Medicaid	$33.2M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-only biller: it reports no Medicare revenue on file and $33.2M in lifetime Medicaid revenue, so payer exposure and financial scale are concentrated in the Medicaid program rather than split across Medicare/Medicaid. Analysts should treat its profile as single-payer dominated for operational and contracting considerations.

Revenue concentration is extreme: the precomputed top three Medicaid codes account for 84.9% of the provider’s total Medicaid revenue, with 1286Z generating $21.9M (65.8% of Medicaid revenue), 1286A generating $3.3M (9.9%), and 1530P generating $3.0M (9.1%). This concentration means a small set of codes drives the vast majority of billed Medicaid dollars.

The provider’s taxonomy (Case Management Agency) combined with the code mix suggests a high-volume, low-dollar service model for routine activities alongside occasional higher-unit interventions. For example, 1286Z shows 7.3M claims at $3 avg paid/claim and 1286A shows 1.1M claims at $3 avg paid/claim, while 1530P is a much higher unit cost line (12.3K claims at $246 avg paid/claim), indicating operational focus on mass-service delivery with sporadic higher-cost services.

Competitive standing for key codes is strong but within a very small in-state peer set: 1286Z ranks #1 of 2 providers in-state (100th percentile; noted as typical, unremarkable volume), and 1286A also ranks #1 of 2 providers in-state (100th percentile). Several other codes (for example 1530P, 1286C, 2288Z) rank #1 of 1 providers in-state with "no state peer volume comparison available," which signals dominance for those billed services but also reflects limited peer presence for benchmarking.

Several Medicaid lines show extremely low average paid/claim values, evidencing a unit-based care model that depends on volume: 1286Z and 1286A at $3 avg paid/claim and 1286C at $3 avg paid/claim together represent very high claim counts (7.3M; 1.1M; 858.7K respectively). That cost-per-claim profile contrasts with high-unit items such as 1530P ($246 avg paid/claim) and 2288Z ($582 avg paid/claim), creating a mixed reimbursement profile that blends mass-volume revenue with occasional high-dollar events.

Business and operational risk is concentrated: with 65.8% of Medicaid revenue coming from a single code (1286Z) and the top three codes contributing 84.9% of revenue, the provider is vulnerable to rate changes, eligibility shifts, or utilization edits that affect those specific codes. Payers evaluating contract changes or utilization management should prioritize review of these top codes given their outsized impact on total Medicaid revenue.

Data limitations and benchmarking caveats are material: multiple codes are reported as ranking #1 of 1 providers in-state with "0th percentile; no state peer volume comparison available," which limits the ability to compare performance against a meaningful in-state peer cohort for those services. Additionally, the absence of Medicare billing prevents cross-payer comparisons and obscures whether similar services are provided outside Medicaid.

The provider has a long tenure in the NPI registry, enumerated on 2007-02-23 (~19 years ago), indicating an established presence in the state market; combined with the billing footprint, this suggests sustained Medicaid operations centered on case-management-style services and high-volume programmatic reimbursement.

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
1286Z	N/A	7,285,640	$1	$21.9M
1286A	N/A	1,098,350	$1	$3.3M
1530P	N/A	12,340	$250	$3M
1286C	N/A	858,670	$1	$2.6M
1288Z	N/A	37,210	$40	$1.3M
2288Z	N/A	990	$580	$573.3K
1300Z	N/A	2,300	$130	$308.5K
1291Z	N/A	10,610	$20	$212.2K

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

Southwestern Connecticut Agency On Aging — 3 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
1286Z	N/A	1	10	3,844,850	$1	$12M
1530P	N/A	1	10	12,340	$250	$3M
1286C	N/A	1	10	858,670	$1	$2.8M
1286A	N/A	1	10	619,510	$1	$2M
1288Z	N/A	1	10	18,740	$40	$723.7K
2288Z	N/A	1	10	990	$580	$573.7K
1300Z	N/A	1	10	2,300	$130	$309.1K
1291Z	N/A	1	10	10,610	$20	$217.5K

Nearby Providers

Other providers in the same ZIP code as Southwestern Connecticut Agency On Aging, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recovery Network Of Programs, Inc.	CT	Methadone Clinic	$413.7K	$19.4M
The Jewish Home For The Elderly Of Fairfield County Inc	CT	Adult Day Care Clinic/Center	$0	$11.2M
Bridgeport Board Of Education	CT	Local Education Agency (LEA)	$0	$8.8M
The Child And Family Guidance Center, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$8.5M
Downtown Dental P.C.	CT	General Practice Dentistry	$0	$7.5M
Bridgeport Family Medicine LLC	CT	Family Medicine Physician	$0	$7.4M
Recovery Network Of Programs, Inc.	CT	Substance Abuse Rehabilitation Facility	$0	$6.9M
Community Resources For Justice	CT	Community/Behavioral Health Agency	$0	$6.2M
Bridgeport Monroe Pediatric Grp., PC	CT	Pediatrics Physician	$0	$4.4M
Complete Care Health Services, LLC	CT	Adult Day Care Clinic/Center	$0	$2.8M

Southwestern Connecticut Agency On Aging — Billing Profile & Reimbursement Data

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Southwestern Connecticut Agency On Aging — 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