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.

Norwich Orthopedic Group, P.C. (NPI 1558316919)

Norwich Orthopedic Group, P.C. is a orthopaedic surgery physician provider located in North Franklin, Connecticut. This profile covers 0 Medicare and 30 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	Norwich Orthopedic Group, P.C.
Address	82 New Park Ave
City	North Franklin
State	CT
ZIP	06254
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30,490	$20	$640.3K
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…	9,370	$20	$215.6K
99203	The provider sees a new 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 provider…	4,290	$40	$167.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	6,550	$10	$78.5K
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…	1,040	$60	$58.2K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	480	$120	$54.6K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	1,310	$30	$43.3K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	570	$60	$31.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,950	$10	$19.4K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	2,150	$10	$19.3K

Showing 1–10 of 30

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

Norwich Orthopedic Group, P.C. — 3 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	171	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…	74	1,710	750	$30	$243.3K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	17	30	70	$350	$221.6K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	5	20	140	$160	$155.3K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	13	40	250	$240	$129.9K
99203	The provider sees a new 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 provider…	42	480	200	$60	$112.1K
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…	84	480	150	$90	$100.9K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	3	60	510	$50	$63.6K
72110	In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.	31	50	230	$40	$50.6K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	16	60	770	$20	$48.1K

Showing 1–10 of 30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Nicolosi	NY	Specialist	$164K	$91.9K
Scott Stanat	CT	Adult Reconstructive Orthopaedic Surgery Physician	$241.1K	$0
Richard Thoms	CT	Orthopaedic Surgery Physician	$227.5K	$0
Ammar Anbari	CT	Diagnostic Radiology Physician	$192.9K	$0
Steven Wei	CT	Orthopaedic Surgery Physician	$149.1K	$0
John Pantuosco	CT	Physical Medicine & Rehabilitation Physician	$147.8K	$0
Mohammad Pasha	CT	Physical Medicine & Rehabilitation Physician	$133.3K	$0
Tarik Kardestuncer	CT	Orthopaedic Hand Surgery Physician	$116.1K	$0
Nimit Patel	CT	Orthopaedic Surgery Physician	$114.5K	$0
Peter Wagner	RI	Orthopaedic Surgery Physician	$109.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oksana Gauthier	CT	Physical Medicine & Rehabilitation Physician	$106K	$0
Michael Halperin	CT	Diagnostic Radiology Physician	$95.4K	$0
Nicole Arcand	CT	Orthopaedic Foot and Ankle Surgery Physician	$71.9K	$0
Stephanie Mierz	CT	Surgical Physician Assistant	$60.5K	$0
David Balogh	CT	Physical Therapist	$50.6K	$0
Adem Cosgel	CT	Surgical Physician Assistant	$43.9K	$0
David Farrington	CT	Medical Physician Assistant	$18.6K	$0
Kenneth Paonessa	CT	Diagnostic Radiology Physician	$16K	$0
Allison Zipser	CT	Occupational Therapist	$14.2K	$0
Aaron Smith	CT	Physician Assistant	$10.5K	$0

Norwich Orthopedic Group, 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

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