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.

Rushford Center, Inc. (NPI 1275541005)

Rushford Center, Inc. is a psychologist provider located in Meriden, Connecticut. This profile covers 0 Medicare and 23 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	Rushford Center, Inc.
Address	883 Paddock Avenue
City	Meriden
State	CT
ZIP	06450
Taxonomy	Psychologist
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicaid	$12.6M
Medicare	$0

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9480	Intensive outpatient psychiatric services, per diem	32,280	$120	$3.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	19,690	$130	$2.6M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	20,670	$110	$2.3M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	129,720	$10	$1.7M
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…	29,660	$40	$1.3M
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…	11,960	$30	$334.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,150	$100	$315K
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…	1,900	$70	$138.9K
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…	1,010	$50	$50.4K
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…	1,550	$30	$44.8K

Showing 1–10 of 23

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

Rushford Center, Inc. — 3 of 19 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	2	10	2,820	$160	$1.6M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	11	70	3,710	$120	$1.6M
S9480	Intensive outpatient psychiatric services, per diem	5	60	5,640	$110	$1.3M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	46	50	3,340	$60	$1M
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…	546	1,590	740	$50	$331.8K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	50	50	4,960	$20	$273.9K
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…	78	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…	1,004	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…	65	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…	172	570	410	$50	$197.6K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rushford Center Inc	CT	Substance Abuse Rehabilitation Facility	$0	$23M
John Moore	CT	Psychiatry Physician	$17.7K	$0
Karen Robinson	CT	Clinical Social Worker	$13.6K	$0
Amber Johnson	CT	Psychiatric/Mental Health Nurse Practitioner	$2.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meriden Board Of Education	CT	Local Education Agency (LEA)	$0	$5.2M
Community Guidance Clinic For Central Connecticut, Inc	CT	Mental Health Counselor	$0	$5.1M
Connecticut Oral & Maxillofacial Surgery Centers, LLC	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$4.5M
Dental Group Of Meriden-wallingford	CT	Pediatric Dentistry	$0	$2.2M
Brilliant Smile Dental, P.C.	CT	General Practice Dentistry	$0	$1.9M
Gisela Sardinas Aprn LLC	CT	Psychiatric/Mental Health Registered Nurse	$0	$1.6M
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$64K	$1.3M
Connecticut Counseling Centers, Inc.	CT	Adult Mental Health Clinic/Center	$0	$1.1M
Meriden Eye Care, LLC	CT	Optometrist	$0	$1.1M
Hancock Pharmacy & Surgical, Inc	CT	Long Term Care Pharmacy	$6.4K	$993.2K

Rushford Center, Inc. — Billing Profile & Reimbursement Data

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Rushford Center, 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

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