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.

Saint Francis Care Medical Group, PC (NPI 1508172545)

Field	Value
Entity Type	Organization
Organization	Saint Francis Care Medical Group, PC
Address	114 Woodland St
City	Hartford
State	CT
ZIP	06105
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	August 27, 2010

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	42,050	$30	$1.3M
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,470	$50	$118.3K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	5,460	$20	$114.6K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	3,920	$30	$101.9K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	4,560	$20	$91.1K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	6,420	$10	$89.9K
88141	The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…	1,900	$20	$30.3K
88304	The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,960	$10	$26.7K
88112	Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…	1,630	$10	$19.5K
88173	The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.	180	$70	$12.9K

Showing 1–10 of 24

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

Saint Francis Care Medical Group, PC — 0 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	6	90	3,980	$40	$424.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	40	50	4,240	$30	$410.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	39	50	4,240	$30	$409.9K
88120	The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and…	2	10	3,030	$70	$226.3K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	11	30	3,460	$30	$219.9K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	6	20	3,810	$10	$193.8K
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	19	40	1,210	$30	$99.6K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	15	50	1,720	$30	$88.3K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	6	50	470	$40	$86.6K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	8	40	780	$30	$64.9K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Saint Francis Care Medical Group, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Hospital And Medical Center	CT	General Acute Care Hospital	$0	$266.5M
Franklin Medical Group, PC	CT	Internal Medicine Physician	$0	$13.5M
Jeffrey Sussman	MA	Anatomic Pathology & Clinical Pathology Physician	$243.9K	$108.7K
Danny Korkmaz	CT	Cardiovascular Disease Physician	$142.7K	$0
Anita Kelsey	CT	Cardiovascular Disease Physician	$138.3K	$0
Vincent Romano	CT	Cardiovascular Disease Physician	$130K	$0
Yougen Zhan	MA	Hematology (Pathology) Physician	$91.7K	$0
Thalia Mesologites	CT	Anatomic Pathology & Clinical Pathology Physician	$60.3K	$0
Brian Wagner	CT	Foot Surgery Podiatrist	$49.9K	$0
Kim Ginevan	ME	Anatomic Pathology & Clinical Pathology Physician	$44.1K	$0

Nearby Providers

Other providers in the same ZIP code as Saint Francis Care Medical Group, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Health Of New England Provider Network Organization Inc	CT	Internal Medicine Physician	$0	$42M
The Village For Families & Children, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$39.5M
The Village For Families & Children, Inc.	CT	Psychiatric Residential Treatment Facility	$0	$28.4M
Collins Medical Associates 2 PC	CT	Internal Medicine Physician	$0	$9M
Saint Francis Emergency Medical Group, Inc.	CT	Emergency Medicine Physician	$0	$8.8M
Radiology Associates Of Hartford PLLC	CT	Diagnostic Radiology Physician	$0	$4.8M
Asylum Hill Family Medicine Center Inc	CT	Family Medicine Physician	$0	$4.2M
Pediatric Health Associates PC.	CT	Pediatrics Physician	$0	$2.9M
Lisa Azinheira	CT	Optician	$0	$2.6M
The Latin Enrichment Organization LLC	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.6M

Saint Francis Care Medical Group, PC — Billing Profile & Reimbursement Data

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Saint Francis Care Medical Group, PC — 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