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.

Matthew Raymond (NPI 1457332181)

Field	Value
Entity Type	Individual
Organization	Matthew Raymond
Address	340 N Main St
City	Southington
State	CT
ZIP	06489
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	November 9, 2005

Payer Source	Total Paid
Medicare	$877.4K
Medicaid	$0

Key Findings

This provider is effectively single-payer in the dataset: total Medicare revenue is $877.4K and there is no Medicaid billing on file. The absence of any Medicaid claims means payer mix is concentrated in Medicare dollars, and the practice’s public-payor footprint is dominated by the single Medicare ledger reported here.

Revenue is highly concentrated in a small set of injection and chemodenervation codes: the precomputed top 3 Medicare codes by revenue account for 82.5% of this provider's total Medicare revenue. Those top contributors are J0586 ($564.8K, 62.2%), J0475 ($147.6K, 16.2%), and 64644 ($36.9K, 4.1%), indicating most Medicare receipts flow from a narrow set of procedural services.

The code mix points to a procedure-focused practice centered on chemodenervation and spasticity management rather than general outpatient primary care. High-revenue codes include J0586 (abobotulinumtoxina injections), J0475 (baclofen injections), and 64644 (chemical neurolysis for multiple muscles), supported by add-on EMG guidance 95874; together these entries describe an operational emphasis on toxin injections, intramuscular chemical denervation and procedure-level support services.

This provider is a national high-volume outlier for several specialty injection codes. J0586 ranks #2 of 63 providers nationally (98th percentile; extreme outlier) and 64644 ranks #3 of 374 (99th percentile; extreme outlier), while 95874 ranks #5 of 1137 (100th percentile; extreme outlier), signaling that for these procedural lines the provider operates at volumes far above typical national peers.

By contrast, evaluation-and-management activity is modest and consistent with routine outpatient follow-up rather than a dominant revenue driver. 99213 produced $30.8K (453 claims) and ranks #32051 of 457151 providers nationally (93th percentile; typical, unremarkable), and 99214 produced $24.1K (251 claims) and ranks in the 74th percentile; these E/M volumes are notable but substantially smaller than the injection-driven revenue stream.

The practice also reports above-typical involvement in intrathecal pump services and device management, supporting a broader interventional pain/rehab service line. 62370 (pump analysis/reprogram and refill) accounted for $18.9K (239 claims) and ranks #38 of 772 providers nationally (95th percentile; notably above typical), and related pump code 62368 appears at more moderate volumes.

This profile reflects long-standing clinical activity: the NPI was enumerated on 2005-11-09 (~21 years ago), indicating extended tenure in the Medicare program. That history, combined with the concentrated procedural mix, suggests an established specialty practice with sustained referral or patient flow for spasticity and chemodenervation care.

Operationally, the provider’s heavy dependence on a few high-volume injectable codes creates sensitivity to changes in reimbursement policy, drug supply, or clinical referral patterns. With no Medicaid billing on file and roughly $877.4K concentrated in a narrow set of procedure codes, any payer policy or market shift affecting J0586, J0475, or 64644 could materially alter the provider’s Medicare revenue profile.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0586	Injection, abobotulinumtoxina, 5 units	80,680	$10	$564.8K
J0475	Injection, baclofen, 10 mg	1,050	$140	$147.6K
64644	The provider injects a chemical, such as Botox®, into 5 or more muscles of one extremity to relieve a patient's pain and spasms.	240	$150	$36.9K
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…	450	$70	$30.8K
95874	In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…	380	$70	$26K
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…	250	$100	$24.1K
62370	The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…	240	$80	$18.9K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	230	$80	$18.3K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	130	$120	$16.1K
64645	The provider injects a chemical, such as Botox®, into 5 or more muscles of an additional extremity after the first to relieve a patient's pain and spasms.	80	$110	$8.7K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Matthew Raymond — 8 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0586	1	10	17,410	$10	$193.2K
J0475	1	10	460	$140	$79K
99309	536	550	260	$80	$31.3K
99214	1,226	6,480	90	$90	$14.2K
99306	232	250	50	$140	$12.7K
64644	1	10	40	$140	$8.9K
99213	302	6,440	70	$60	$8.1K
62370	1	10	80	$70	$7K
99215	638	1,840	30	$130	$6.7K
64645	1	10	60	$100	$6.6K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Matthew Raymond, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ct Rehabilitation & Spasticity Care, LLC	CT	Multi-Specialty Clinic/Center	$0	$4.4M

Nearby Providers

Other providers in the same ZIP code as Matthew Raymond, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Little Tooth Company Pediatric Dentistry LLC	CT	Pediatric Dentistry	$0	$4.4M
Hop Brook Counseling Center, LLC	CT	Clinical Psychologist	$0	$2.2M
Smile Rite Dental Care LLC	CT	Dentist	$0	$2M
Nirmala Panwar	CT	General Practice Physician	$18.7K	$1.6M
Connecticut Support Services Holdings, LLC	CT	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Southington Board Of Education	CT	Local Education Agency (LEA)	$0	$1.1M
Connecticut Cvs Pharmacy LLC	CT	Pharmacy	$180.3K	$41.8K
Joshua Rock	CT	Cardiovascular Disease Physician	$171K	$0
Farid Shafik	CT	Ophthalmology Physician	$162.1K	$0
Matthew Maler	CT	Orthopedic Physical Therapist	$108.8K	$0

Matthew Raymond — Billing Profile & Reimbursement Data

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Matthew Raymond — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References