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.

Health Complex Medical LLC (NPI 1568465938)

Field	Value
Entity Type	Organization
Organization	Health Complex Medical LLC
Address	84 Progress Ln
City	Waterbury
State	CT
ZIP	06705
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	May 31, 2005

Payer Source	Total Paid
Medicaid	$13.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A7030	Full face mask used with positive airway pressure device, each	46,110	$50	$2.2M
E0601	Continuous positive airway pressure (CPAP) device	69,700	$20	$1.7M
A4604	Tubing with integrated heating element for use with positive airway pressure device	72,810	$20	$1.5M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	47,150	$20	$1.1M
A7031	Face mask interface, replacement for full face mask, each	46,140	$20	$968.9K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	32,730	$30	$916.3K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	3,820	$220	$845.1K
E0562	Humidifier, heated, used with positive airway pressure device	45,280	$10	$633.9K
A7035	Headgear used with positive airway pressure device	46,640	$10	$466.4K
A7032	Cushion for use on nasal mask interface, replacement only, each	17,720	$20	$389.9K

Showing 1–10 of 50

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

Health Complex Medical LLC — 12 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	2	10	1,230	$290	$520.5K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	3	20	10,080	$30	$498.5K
A7030	Full face mask used with positive airway pressure device, each	2	20	4,310	$50	$362.8K
E0601	Continuous positive airway pressure (CPAP) device	1	20	4,910	$30	$270.7K
T4541	Incontinence product, disposable underpad, large, each	26	50	1,140	$50	$215.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	28	40	520	$110	$200.6K
A7031	Face mask interface, replacement for full face mask, each	2	20	3,760	$20	$198.9K
A4604	Tubing with integrated heating element for use with positive airway pressure device	1	20	3,380	$20	$197.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	24	40	660	$110	$174.6K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	27	40	980	$50	$173.1K

Showing 1–10 of 50

Nearby Providers

Other providers in the same ZIP code as Health Complex Medical LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wolcott Street Dental-2, PC	CT	Dentist	$0	$21.1M
There For You Home Care Services	CT	Home Health Agency	$0	$15.5M
Connecticut Counseling Centers, Inc.	CT	Methadone Clinic	$204.7K	$14.8M
Emerest Home Care Of Connecticut LLC	CT	In Home Supportive Care Agency	$0	$9.3M
Magicland Pediatric Dental LLC	CT	Pediatric Dentistry	$0	$6.6M
Mindscapes Counseling PLLC	CT	Clinical Social Worker	$0	$6.2M
Salute Homecare LLC	CT	Home Health Agency	$0	$4.1M
Wct Behavioral Health & Medication Management PLLC	CT	Family Nurse Practitioner	$0	$4M
Reliable Dental Waterbury Inc.	CT	General Practice Dentistry	$0	$1.5M
Total Renal Care Inc	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.4M

Health Complex Medical LLC — Billing Profile & Reimbursement Data

Sign up for Health Complex Medical LLC — Billing Profile & Reimbursement Data policy alerts

Health Complex Medical LLC — Billing Profile & Reimbursement Data

Sign up for Health Complex Medical LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References