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.

Wexford Behavioral Health Inc (NPI 1578969093)

Field	Value
Entity Type	Organization
Organization	Wexford Behavioral Health Inc
Address	100 Main St N
City	Southbury
State	CT
ZIP	06488
Taxonomy	Clinical Social Worker
NPI Enumerated	November 11, 2014

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	10,810	$90	$929.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	10,820	$20	$227.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	170	$70	$12.6K
90832	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…	20	$30	$560

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

Wexford Behavioral Health Inc — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	74	2,180	850	$90	$202.1K
90832	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…	403	420	1,230	$20	$199.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	67	300	2,660	$20	$181.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	202	560	80	$80	$90.3K

Nearby Providers

Other providers in the same ZIP code as Wexford Behavioral Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Strong Ct	CT	Behavior Analyst	$0	$4.5M
Pediatric Dental Associates Of Southbury LLC	CT	Pediatric Dentistry	$0	$1.9M
Smile Spot LLC	CT	Dental Clinic/Center	$0	$1.2M
Southbury Ambulance Association Inc	CT	Land Ambulance	$483.3K	$440.5K
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$249.4K	$0
Walgreen Co	CT	Pharmacy	$226.8K	$6K
Chin Cheng Tai	CT	Primary Care Nurse Practitioner	$220.2K	$0
Heritage Village Ambulance Association Inc	CT	Land Ambulance	$163.7K	$50.6K
Carolyn Ajemian	CT	Diagnostic Radiology Physician	$203.7K	$0
Paolo Olcese	CT	Diagnostic Radiology Physician	$163.4K	$0

Wexford Behavioral Health Inc — Billing Profile & Reimbursement Data

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Wexford Behavioral Health Inc — 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