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.

Generations Family Health Center, Inc. (NPI 1346228905)

Field	Value
Entity Type	Organization
Organization	Generations Family Health Center, Inc.
Address	40 Mansfield Ave
City	Willimantic
State	CT
ZIP	06226
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 4, 2006

Payer Source	Total Paid
Medicaid	$61.8M
Medicare	$0

Key Findings

GENERATIONS FAMILY HEALTH CENTER, INC. is effectively a single-payer Medicaid operator: there is no Medicare billing on file while lifetime Medicaid revenue totals $61.8M, indicating the organization’s patient-facing activity and reimbursement mix are overwhelmingly Medicaid-centric. This payer concentration implies operational focus on Medicaid eligibility populations and payer contracts rather than Medicare-driven service lines.

Revenue concentration is extremely high: the top 3 Medicaid codes by revenue account for 98.6% of the provider’s total Medicaid revenue, with a single code, T1015, contributing $57.5M (93.0% of Medicaid revenue). This indicates the organization’s financial performance is heavily dependent on bundled, all-inclusive clinic encounter payments rather than a diversified mix of procedure- or specialty-driven billing.

The dominant code mix (T1015 — Clinic visit/encounter, all-inclusive) and sizable volumes of G0511 and G2025 suggest GENERATIONS operates primarily as a Federally Qualified Health Center delivering routine primary care and chronic care management at scale. High counts for G0511 (48.4K claims) and G2025 (23.8K claims) imply structured chronic care management and telehealth or distant-site RH C/FQHC services are significant parts of its operating model in addition to face-to-face clinic encounters.

On competitive standing within Connecticut Medicaid, the provider shows mixed positions across its top codes: T1015 ranks #8 of 73 providers (90th percentile), marking it as a high-volume but not singularly dominant FQHC for that bundled clinic encounter. G0511 ranks #4 of 17 providers (81st percentile), indicating above-typical volume for chronic care/behavioral health integration among peer RHC/FQHCs, while G2025 ranks #1 of 27 providers (100th percentile) and is labeled an extreme outlier — GENERATIONS is a statewide leader on telehealth distant-site payments among FQHC/RHC peers.

Multiple additional codes show unusually high utilization relative to peers and reflect enabling services tied to an FQHC model: 99213 (136.3K claims) ranks in the 99th percentile (extreme outlier in state volume), 99442 and 99443 are notably above typical state volume, and 96127 and 99214 also appear as extreme or near-extreme outliers by rank. Several high-claim codes that pay little per-claim (e.g., 99213 paid $1/claim, 96127 and 99214 listed with $0 average paid/claim) suggest Medicaid reimbursement rules or bundled payment arrangements concentrate revenue into T1015/G0467-style all-inclusive payments rather than fee-for-service line items.

The FQHC-specific codes G0467 and G0470 appear in the top code list (G0467: 40.2K claims, ranks #3 of 33, 94th percentile; G0470: 4.6K claims, ranks #6 of 25, 79th percentile), reinforcing that federally qualified health center visit bundles for medical and mental health visits are central to the practice mix. This supports an operational footprint that combines primary care and integrated behavioral health services within FQHC bundled visit constructs.

Tenure data shows the provider’s NPI was enumerated on 2006-01-04 (~20 years ago), indicating a long-established presence in the market. Long tenure combined with concentrated Medicaid billing and leadership in certain telehealth and encounter codes is consistent with an entrenched community health center that has scaled specific FQHC billing pathways over time.

Medicaid: Complete Services Breakdown

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

114 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	432,160	$130	$57.5M
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	48,360	$50	$2.6M
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	23,800	$40	$904.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	40,210	$10	$361.9K
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…	136,330	$1	$136.3K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	4,640	$20	$92.9K
99442	N/A	39,700	$1	$79.4K
82948	The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.	26,090	$1	$78.3K
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…	41,240	$1	$41.2K
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,…	10,960	$1	$21.9K

Showing 1–10 of 114

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

Generations Family Health Center, Inc. — 6 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

114 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	8	70	830	$150	$24M
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	4	20	6,040	$40	$952.7K
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…	21	1,590	740	$50	$331.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1	30	2,590	$60	$278.5K
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…	21	1,710	750	$30	$243.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	89	170	850	$80	$203.5K
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…	410	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…	40	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…	12	570	410	$50	$197.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	3	30	6,140	$20	$180.2K

Showing 1–10 of 114

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Molly Moran	RI	Psychiatric/Mental Health Nurse Practitioner	$0	$376.3K

Nearby Providers

Other providers in the same ZIP code as Generations Family Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Windham Community Memorial Hospital, Inc.	CT	General Acute Care Hospital	$0	$69.5M
Northeast Emergency Medicine Specialists, LLC	CT	Emergency Medicine Physician	$0	$11.4M
Perception Programs Inc	CT	Substance Abuse Rehabilitation Facility	$0	$8.9M
Para-pharm Inc	CT	Durable Medical Equipment & Medical Supplies	$0	$5.3M
Abi Resources LLC	CT	Developmentally Disabled Services Day Training Agency	$0	$3.3M
Town Of Windham	CT	Land Ambulance	$276.2K	$2.6M
Town Of Windham Board Of Education	CT	Local Education Agency (LEA)	$0	$2.8M
Tricounty Vision Associates, L.L.C.	CT	Optometrist	$0	$1.9M
Radianz Dental PC	CT	General Practice Dentistry	$0	$1.4M
Mark Pollack	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.2M

Generations Family Health Center, Inc. — Billing Profile & Reimbursement Data

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Generations Family Health Center, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References