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.

Nes Medical Services Of Northern Connecticut, P.C. (NPI 1447231865)

Field	Value
Entity Type	Organization
Organization	Nes Medical Services Of Northern Connecticut, P.C.
Address	320 Pomfret St
City	Putnam
State	CT
ZIP	06260
Taxonomy	Emergency Medicine Physician
NPI Enumerated	November 11, 2005

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	15,850	$70	$1.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	17,560	$50	$912.9K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	2,960	$160	$479.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	8,350	$30	$250.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,710	$60	$105.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	600	$70	$42.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	9,800	$1	$29.4K
99220	N/A	540	$40	$18.9K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	160	$100	$15.4K
99217	N/A	290	$20	$6.9K

Showing 1–10 of 16

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

Nes Medical Services Of Northern Connecticut, P.C. — 2 of 12 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	39	130	520	$330	$5.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	43	130	690	$180	$4.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	49	110	1,520	$140	$3.4M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	49	60	3,070	$100	$907.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	32	80	790	$240	$650K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	32	90	130	$60	$89.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	22	70	1,230	$1	$72K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	1	20	50	$150	$44.7K
99220	N/A	8	30	100	$50	$29.1K
99217	N/A	7	20	170	$20	$17.6K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nes Medical Services Of Northern Connecticut, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Ross	CT	Family Nurse Practitioner	$87.7K	$0
Debra Campbell	CT	Emergency Medicine Physician	$83.1K	$0

Nearby Providers

Other providers in the same ZIP code as Nes Medical Services Of Northern Connecticut, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Day Kimball Healthcare, Inc.	CT	General Acute Care Hospital	$0	$48.7M
Day Kimball Medical Group Inc	CT	Family Medicine Physician	$0	$11.9M
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
Brian Baxt	CT	Phlebology Physician	$286.9K	$0

Nes Medical Services Of Northern Connecticut, P.C. — Billing Profile & Reimbursement Data

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Nes Medical Services Of Northern Connecticut, P.C. — 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