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.

Mhs Primary Care, Inc (NPI 1336279058)

Field	Value
Entity Type	Organization
Organization	Mhs Primary Care, Inc
Address	28 Crescent St
City	Middletown
State	CT
ZIP	06457
Taxonomy	Family Medicine Physician
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 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…	53,570	$70	$3.6M
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…	29,230	$50	$1.5M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,320	$90	$209.2K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	490	$40	$18.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,090	$10	$14.1K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	1,130	$10	$11.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,660	$10	$8.3K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	40	$130	$5.1K
0004A	N/A	130	$30	$4.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,480	$1	$3K

Showing 1–10 of 31

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

Mhs Primary Care, Inc — 2 of 23 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

31 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…	29	1,590	740	$50	$331.8K
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…	81	1,710	750	$30	$243.3K
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…	524	570	410	$50	$197.6K
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.	218	240	1,560	$20	$159.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	47	380	220	$70	$99.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	68	160	720	$10	$96.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	120	150	190	$50	$43.5K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	255	290	470	$10	$41.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	97	140	150	$60	$38.6K
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,…	546	580	230	$20	$32.8K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mhs Primary Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mhs Primary Care Inc	CT	Urgent Care Clinic/Center	$0	$1.2M
Paul Fortgang	CT	Otolaryngology Physician	$94.5K	$98.3K
Richard Frink	CT	Urology Physician	$138.7K	$0
Ronald Hirokawa	CT	Otolaryngology Physician	$86K	$41.3K
Howard Boey	CT	Otolaryngology Physician	$90.3K	$32.9K
Meredith Lindner	CT	Internal Medicine Physician	$123K	$0
Edward Myer	CT	Urology Physician	$112.9K	$0
Nazmiye Hatiboglu	CT	Family Medicine Physician	$107.2K	$0
Elin Christensen	CT	Internal Medicine Physician	$97.1K	$0
Timothy Siegrist	CT	Urology Physician	$94.8K	$0

Nearby Providers

Other providers in the same ZIP code as Mhs Primary Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Inc	CT	Federally Qualified Health Center (FQHC)	$0	$533.4M
Middlesex Hospital	CT	General Acute Care Hospital	$0	$116.1M
Rushford Center Inc	CT	Substance Abuse Rehabilitation Facility	$0	$23M
Pursuecare, LLC	CT	Addiction Medicine (Preventive Medicine) Physician	$0	$9.8M
Gilead Community Services, Inc.	CT	Adult Mental Health Clinic/Center	$0	$8.9M
Middlesex Hospital	CT	Family Nurse Practitioner	$0	$7.5M
City Of Middletown	CT	Local Education Agency (LEA)	$0	$4.2M
Surgi-care, Inc	CT	Prosthetic/Orthotic Supplier	$0	$4.2M
Unison Health Services, Inc.	CT	Home Health Agency	$0	$3.8M
Middlesex Hospital	CT	Land Ambulance	$1.4M	$2M

Mhs Primary Care, Inc — Billing Profile & Reimbursement Data

Sign up for Mhs Primary Care, Inc — Billing Profile & Reimbursement Data policy alerts

Mhs Primary Care, Inc — Billing Profile & Reimbursement Data

Sign up for Mhs Primary Care, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References