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.

Boys & Girls Village (NPI 1477583581)

Field	Value
Entity Type	Organization
Organization	Boys & Girls Village
Address	528 Wheelers Farms Rd
City	Milford
State	CT
ZIP	06461
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$15.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	37,440	$220	$8.2M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	7,470	$580	$4.3M
H2012	Behavioral health day treatment, per hour	17,550	$80	$1.4M
T1017	Targeted case management, each 15 minutes	12,080	$80	$906.2K
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…	1,690	$110	$185.9K
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…	2,140	$70	$156.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,440	$100	$148.1K
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…	660	$140	$89.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	380	$80	$31.3K
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…	490	$60	$30.3K

Showing 1–10 of 11

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

Boys & Girls Village — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	3	10	44,310	$590	$19.3M
H2019	Therapeutic behavioral services, per 15 minutes	6	20	10,120	$220	$4.8M
H2012	Behavioral health day treatment, per hour	5	10	10,180	$70	$1.1M
T1017	Targeted case management, each 15 minutes	7	20	4,860	$100	$965.6K
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…	576	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…	543	1,710	750	$30	$243.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	70	150	290	$80	$206.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	806	2,180	850	$90	$202.1K
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…	268	570	410	$50	$197.6K
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…	50	210	130	$80	$49.1K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Boys & Girls Village, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byram Healthcare Centers, Inc.	CT	Durable Medical Equipment & Medical Supplies	$0	$30.2M
Yale New Haven Health At Home, Inc.	CT	Home Health Agency	$0	$8.4M
Connecticut Eye Surgery Center South LLC	CT	Ophthalmologic Surgery Clinic/Center	$1.9M	$516.1K
Sunrise Therapy Services LLC	CT	Marriage & Family Therapist	$0	$1M
Nelson Leach	CT	Family Nurse Practitioner	$254.3K	$0
Mae Mae Mirabelli	CT	Diagnostic Radiology Physician	$165.6K	$29.6K
Connecticut Orthopaedic Surgery Center, LLC	CT	Ambulatory Surgical Clinic/Center	$165.4K	$0
Gregory Salber	CT	Cardiovascular Disease Physician	$161.3K	$0
Analia Gray	CT	Adult Health Nurse Practitioner	$154.7K	$0
Jennifer Hankenson	CT	Physical Medicine & Rehabilitation Physician	$120.4K	$0

Boys & Girls Village — Billing Profile & Reimbursement Data

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Boys & Girls Village — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References