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.

Eastern Connecticut Cardiology Associates LLC (NPI 1427043777)

Eastern Connecticut Cardiology Associates LLC is a cardiovascular disease physician provider located in Manchester, Connecticut. This profile covers 0 Medicare and 47 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	Eastern Connecticut Cardiology Associates LLC
Address	43 W Middle Tpke
City	Manchester
State	CT
ZIP	06040
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	September 13, 2005

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

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

47 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…	21,380	$60	$1.3M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	3,260	$340	$1.1M
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	6,900	$160	$1.1M
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…	10,010	$100	$960.7K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	1,930	$350	$680.6K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	6,450	$110	$676.8K
J2785	Injection, regadenoson, 0.1 mg	5,580	$110	$613.7K
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…	13,160	$40	$565.7K
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…	3,200	$130	$409.6K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	6,910	$40	$290.1K

Showing 1–10 of 47

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

Eastern Connecticut Cardiology Associates LLC — 7 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	28	40	23,540	$140	$3.7M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	5	50	870	$510	$687.2K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	5	20	180	$1,210	$568.6K
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…	13	100	1,120	$120	$564.2K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	13	10	210	$710	$557.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	1	60	560	$380	$437.2K
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…	87	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…	154	1,710	750	$30	$243.3K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	3	40	210	$510	$241.3K
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…	81	170	260	$20	$183.2K

Showing 1–10 of 47

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Manchester Hospital, Inc.	CT	General Acute Care Hospital	$0	$69.2M
Prospect Ct Medical Foundation, Inc.	CT	Family Medicine Physician	$0	$34M
Columbia Oral Maxillofacial Imaging LLC	CT	Dentist	$0	$19.4M
Abuelos Care Inc.	CT	Home Health Agency	$0	$7M
Eastern Connecticut Pathology Consultants, PC	CT	Anatomic Pathology & Clinical Pathology Physician	$0	$4M
Emergency Care Services Of Connecticut, P.C.	CT	Emergency Medicine Physician	$0	$3.4M
Abc Pediatrics LLC	CT	Pediatrics Physician	$0	$1.7M
Advanced Psychological Services, LLC	CT	Clinical Psychologist	$0	$1.7M
Dr. Dental Of Manchester, PC	CT	Dentist	$0	$1.4M
Anjum Khera	CT	Specialist	$0	$1.3M

Eastern Connecticut Cardiology Associates LLC — Billing Profile & Reimbursement Data

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Eastern Connecticut Cardiology Associates LLC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parveen Khanna	CT	Cardiovascular Disease Physician	$469.3K	$0
Venkateswara Narla	CT	Cardiovascular Disease Physician	$103.8K	$0
Thomas Knox	CT	Cardiovascular Disease Physician	$84.3K	$0