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.

Bristol Hospital Multi-specialty Group, Inc. (NPI 1396734109)

Bristol Hospital Multi-specialty Group, Inc. is a psychiatry physician provider located in Bristol, Connecticut. This profile covers 0 Medicare and 14 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	Bristol Hospital Multi-specialty Group, Inc.
Address	15 Riverside Ave
City	Bristol
State	CT
ZIP	06010
Taxonomy	Psychiatry Physician
NPI Enumerated	October 14, 2005

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	15,010	$20	$345.3K
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…	12,170	$20	$280K
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…	6,860	$30	$212.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2,130	$40	$87.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,690	$50	$86.1K
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…	2,510	$30	$85.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	890	$60	$55.8K
99442	N/A	1,720	$30	$46.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,430	$10	$19.9K
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…	320	$40	$14.2K

Showing 1–10 of 14

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

Bristol Hospital Multi-specialty Group, Inc. — 0 of 14 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

14 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…	473	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…	162	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…	74	570	410	$50	$197.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	19	170	260	$20	$183.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	23	50	910	$30	$118.4K
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…	383	480	200	$60	$112.1K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	23	60	290	$10	$107K
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…	176	480	150	$90	$100.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	178	560	80	$80	$90.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	35	210	130	$80	$49.1K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bristol Hospital Incorporated	CT	General Acute Care Hospital	$0	$68.1M
Bristol Hospital Multi Specialty Group, Inc	CT	General Practice Physician	$0	$7.5M
Lisa Haut	CT	Family Nurse Practitioner	$0	$1.6M
Nauman Piracha	CT	Hospitalist Physician	$489.5K	$104.3K
NPI 1457647281	—	—	$306.9K	$0
Amirhossein Zangiabadi	CA	Neurology Physician	$274.7K	$0
York Moy	CT	Urology Physician	$257.8K	$0
Matthew Grosso	CT	Orthopaedic Surgery Physician	$219K	$0
Anthony Kim	CT	Urology Physician	$210.9K	$0
Jayne Cluett	CT	Obstetrics & Gynecology Physician	$6.2K	$202.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wheeler Clinic Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$21.8M
Bristol Hospital Ems, LLC	CT	Land Ambulance	$1M	$7.1M
Hartford County Oral Maxillofacial & Implant Surgery PC	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$7.9M
The Pediatric Care Center, LLC	CT	Pediatrics Physician	$0	$7.8M
City Of Bristol	CT	Local Education Agency (LEA)	$0	$6M
Kids Dental Care, LLC	CT	Pediatric Dentistry	$0	$5.9M
Usacs Of Connecticut, LLC	CT	Emergency Medicine Physician	$0	$3.7M
Pediatric Associates, LLC	CT	Primary Care Clinic/Center	$0	$3.7M
Bristol Oral Surgery & Implant Center	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$2.8M
Tiny Teeth General Dentistry LLC	CT	Pediatric Dentistry	$0	$2.5M

Bristol Hospital Multi-specialty Group, Inc. — Billing Profile & Reimbursement Data

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Bristol Hospital Multi-specialty 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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