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.

Day Kimball Medical Group Inc (NPI 1376813972)

Day Kimball Medical Group Inc is a family medicine physician provider located in Putnam, Connecticut. This profile covers 0 Medicare and 119 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	Day Kimball Medical Group Inc
Address	320 Pomfret Street
City	Putnam
State	CT
ZIP	06260
Taxonomy	Family Medicine Physician
NPI Enumerated	January 12, 2012

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

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

119 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…	51,390	$60	$3.2M
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…	63,000	$50	$3M
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…	6,770	$120	$778.8K
99391	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…	6,920	$110	$760.6K
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.	15,320	$40	$658.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,950	$120	$573.9K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	6,430	$60	$379.3K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	3,970	$90	$365.6K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	3,500	$90	$325.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	5,050	$50	$267.8K

Showing 1–10 of 119

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

Day Kimball Medical Group Inc — 2 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

119 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	90	100	1,120	$120	$564.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	15	50	1,820	$100	$515.7K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	21	30	1,560	$160	$444.1K
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…	31	1,590	740	$50	$331.8K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	63	70	760	$100	$252.3K
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…	36	1,710	750	$30	$243.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	15	50	1,060	$50	$230.5K
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…	17	170	850	$80	$203.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	136	140	330	$20	$194.5K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	33	50	1,160	$80	$189.3K

Showing 1–10 of 119

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Day Kimball Healthcare, Inc.	CT	General Acute Care Hospital	$0	$48.7M
Concord Hospital, Inc.	NH	Emergency Medicine Physician	$0	$2.5M
Joseph Alessandro	CT	Hospice and Palliative Medicine (Family Medicine) Physician	$38.1K	$1.3M
Dinesh Kapur	CT	Hematology & Oncology Physician	$494.8K	$0
Jie Yang	CT	Hematology & Oncology Physician	$389.2K	$0
Jason Tartaglione	RI	Orthopaedic Foot and Ankle Surgery Physician	$61K	$320.6K
Vanessa Johnson	NC	Hematology & Oncology Physician	$378.8K	$0
Mandeep Dhami	CT	Hematology & Oncology Physician	$331.4K	$0
Brian Baxt	CT	Phlebology Physician	$286.9K	$0
Michael Bradley	RI	Orthopaedic Surgery Physician	$175.8K	$45.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nes Medical Services Of Northern Connecticut, P.C.	CT	Emergency Medicine Physician	$0	$3M
New England Family Medical And Walk-in Center, LLC	CT	Family Medicine Physician	$0	$2M
Advanced Orthodontics,llc	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M
Day Kimball Medical Group Inc	CT	Nurse Practitioner	$0	$1.4M
Putnam Board Of Education	CT	Local Education Agency (LEA)	$0	$1.4M
Ct Therapy Works LLC	CT	Clinical Social Worker	$0	$1.1M
Putnam Ems Ambulance Service Inc	CT	Ambulance	$195.6K	$796.5K
James Dean	CT	Ophthalmology Physician	$568.6K	$0
Joseph Botta	CT	Internal Medicine Physician	$192.6K	$0
Raja Fattaleh	CT	Family Medicine Physician	$179.8K	$0

Day Kimball Medical Group 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

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