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.

Epic Family Physicians, LLP (NPI 1326381039)

Epic Family Physicians, LLP is a family medicine physician provider located in North Haven, Connecticut. This profile covers 0 Medicare and 42 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	Epic Family Physicians, LLP
Address	163 Universal Dr N
City	North Haven
State	CT
ZIP	06473
Taxonomy	Family Medicine Physician
NPI Enumerated	April 1, 2013

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	34,270	$110	$3.7M
99204	The provider sees a new 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 provider…	15,210	$160	$2.5M
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…	14,870	$70	$1.1M
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…	2,150	$100	$224K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	620	$120	$72.8K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	5,380	$10	$59.2K
99385	The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.	350	$130	$45.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	3,200	$10	$44.8K
99384	The provider performs a well–patient visit for an adolescent who is between the ages of 12 and 17 who meets the definition of new patient.	310	$140	$42.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	3,530	$10	$38.8K

Showing 1–10 of 42

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

Epic Family Physicians, LLP — 5 of 25 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	48	1,590	740	$50	$331.8K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	80	130	600	$30	$329.2K
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…	141	1,710	750	$30	$243.3K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	169	240	1,560	$20	$159.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	119	180	710	$70	$151.2K
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…	65	480	200	$60	$112.1K
99204	The provider sees a new 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 provider…	7	480	150	$90	$100.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	92	170	410	$70	$98K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	41	200	530	$20	$69.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	39	150	190	$50	$43.5K

Showing 1–10 of 42

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Janki Sharma	CT	Family Medicine Physician	$101.7K	$0
Rohit Ramanath	NJ	General Practice Physician	$89.1K	$0
Jasdeep Sidana	CT	Pulmonary Disease Physician	$77.6K	$2.9K
Rex Mahnensmith	CT	Internal Medicine Physician	$64.9K	$0
Sanjay Aggarwal	CT	Internal Medicine Physician	$55.7K	$0
James Marshall	CT	Internal Medicine Physician	$43.5K	$0
Hillary Iweorah	CT	Physician Assistant	$20.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apt Foundation, Inc	CT	Methadone Clinic	$0	$36.6M
Efk Of Connecticut, Inc.	CT	Land Ambulance	$2.2M	$9.1M
Family Practice & Internal Medicine, LLC	CT	Internal Medicine Physician	$0	$6.9M
Pediatrics Plus PC	CT	Pediatric Nurse Practitioner	$0	$2.2M
Mindful Mediation LLC	CT	Clinical Social Worker	$0	$1.7M
Interim Healthcare Of North Haven, Inc.	CT	Home Health Agency	$0	$1.7M
Complete Pediatrics	CT	Pediatric Adolescent Medicine Physician	$0	$1.6M
Pediatrics Plus PC	CT	Pediatrics Physician	$0	$1.1M
Art Therapy Of Hamden LLC	CT	Professional Counselor	$0	$1.1M
Peoples Home Healthcare Inc	CT	Oxygen Equipment & Supplies (DME)	$0	$1.1M

Epic Family Physicians, LLP — 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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