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.

Connecticut Phlebology PC (NPI 1295053502)

Connecticut Phlebology PC is a surgery physician provider located in Fairfield, Connecticut. This profile covers 0 Medicare and 12 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	Connecticut Phlebology PC
Address	1 Sasco Hill Rd Ste 2
City	Fairfield
State	CT
ZIP	06824
Taxonomy	Surgery Physician
NPI Enumerated	May 11, 2010

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	2,970	$600	$1.8M
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	7,080	$50	$375.2K
36471	In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…	7,870	$50	$354K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	7,640	$30	$252.2K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	7,930	$30	$245.9K
36482	In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…	280	$590	$168.1K
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…	640	$30	$19.1K
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…	580	$20	$10.5K
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,…	350	$10	$4.2K
10160	The provider inserts a needle into a fluid deposit area on the skin and aspirates fluid or pus to obtain a culture.	670	$10	$4K

Showing 1–10 of 12

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

Connecticut Phlebology PC — 4 of 11 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	1	10	210	$710	$557.4K
36482	In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…	2	10	490	$510	$250.5K
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…	932	1,710	750	$30	$243.3K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	5	70	1,460	$50	$121.2K
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…	153	480	200	$60	$112.1K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	5	70	470	$70	$111.7K
36471	In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…	1	10	430	$50	$76.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	158	180	120	$40	$40.1K
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,…	244	580	230	$20	$32.8K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	1	40	190	$20	$25.3K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Baxt	CT	Phlebology Physician	$286.9K	$0
Joseph Robles	CT	Surgery Physician	$87.2K	$0
Vinay Madan	CT	Vascular & Interventional Radiology Physician	$80.8K	$0
Jurgen Runschke	MI	Vascular Surgery Physician	$78K	$0
John James	CT	Sports Medicine (Emergency Medicine) Physician	$51.3K	$0
Adam Corrado	CT	Emergency Medicine Physician	$47.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids First Pediatric Dentistry & Orthodontics	CT	Pediatric Dentistry	$0	$11.9M
St. Vincents Urgent Care LLC	CT	Urgent Care Clinic/Center	$0	$4.2M
Global Pediatrics LLC	CT	Pediatrics Physician	$0	$4M
Ophthalmic Consultants Of Connecticut PC	CT	Ophthalmology Physician	$0	$2.2M
Professional Dental Alliance Of Ct - Pedo, PLLC	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$2M
Prime Healthcare Of Southport,llc	CT	Internal Medicine Physician	$0	$1.7M
Total Renal Care Inc	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Gastroenterology Associates Of Fairfield PC	CT	Ambulatory Surgical Clinic/Center	$685.5K	$0
Jonathan Stein	CT	Ophthalmology Physician	$381.9K	$0
Daniel Machleder	CT	Vascular & Interventional Radiology Physician	$329.9K	$10.9K

Connecticut Phlebology PC — Billing Profile & Reimbursement Data

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Connecticut Phlebology PC — 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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