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.

Wellmore, Inc (NPI 1336407915)

Field	Value
Entity Type	Organization
Organization	Wellmore, Inc
Address	142 Griggs St
City	Waterbury
State	CT
ZIP	06704
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	May 2, 2012

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2013	Psychiatric health facility service, per diem	11,030	$160	$1.8M
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…	3,640	$130	$476.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$0	$0

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

Wellmore, Inc — 0 of 2 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2013	Psychiatric health facility service, per diem	2	10	4,060	$140	$2.3M
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…	38	70	3,710	$120	$1.6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	534	560	80	$80	$90.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellmore, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$21.5M
Wellmore, Inc	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.1M
Shirley Bradley	CT	Clinical Social Worker	$119.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Intervention Center, Inc	CT	Clinic/Center	$0	$3M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$2.2M
Footsteps LLC	CT	Professional Counselor	$0	$1.2M

Wellmore, Inc — Billing Profile & Reimbursement Data

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Wellmore, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References