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.

Griffin Faculty Physicians, Inc. (NPI 1598755605)

Griffin Faculty Physicians, Inc. is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Derby, Connecticut. This profile covers 0 Medicare and 139 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	Griffin Faculty Physicians, Inc.
Address	67 Maple Ave
City	Derby
State	CT
ZIP	06418
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	October 28, 2005

Payer Source	Total Paid
Medicaid	$11.2M
Medicare	$0

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

139 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	71,560	$70	$4.9M
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…	49,790	$50	$2.5M
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…	8,680	$90	$798.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	13,220	$20	$264.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	7,510	$30	$217.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,690	$80	$206.8K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,730	$110	$192.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,860	$90	$165.3K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	2,830	$60	$155.8K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	7,280	$20	$131K

Showing 1–10 of 139

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

Griffin Faculty Physicians, Inc. — 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

139 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	54	80	790	$240	$650K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	32	70	570	$480	$626.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	38	80	990	$260	$592K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	80	100	1,120	$120	$564.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	37	50	1,820	$100	$515.7K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	50	60	370	$460	$368K
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…	23	1,590	740	$50	$331.8K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	26	40	290	$460	$264.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	59	70	760	$100	$252.3K
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…	47	1,710	750	$30	$243.3K

Showing 1–10 of 139

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Dodge	NY	Physician Assistant	$276.4K	$0
Michael Sergi	CT	Vascular Surgery Physician	$191.5K	$0
Michael Lipcan	CT	Gastroenterology Physician	$182.5K	$0
Feng Guo	CT	Urology Physician	$143.3K	$0
Mark Marieb	NC	Clinical Cardiac Electrophysiology Physician	$124.6K	$0
Shyla Muriel	CT	Internal Medicine Physician	$121.6K	$0
Grace Biggs	CT	Urology Physician	$117.2K	$0
Kathleen Chaisson	CT	Pulmonary Disease Physician	$99.9K	$0
Roman Spivak	CT	Pulmonary Disease Physician	$96K	$0
Shobha Jagadeesh	CT	Internal Medicine Physician	$95.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Griffin Hospital	CT	General Acute Care Hospital	$0	$80.7M
Connecticut Post Acute Medical Services 1 PC	CT	Hospitalist Physician	$0	$5.1M
Medexpress Urgent Care Connecticut, P.C.	CT	Urgent Care Clinic/Center	$0	$4.3M
Neelima Kaushal, LLC	CT	Obstetrics & Gynecology Physician	$0	$2.1M
Lower Naugatuck Valley Parent Child Resource Center, Inc.	CT	Mental Health Counselor	$0	$1.9M
Derby Public Schools	CT	Local Education Agency (LEA)	$0	$1.8M
Dr.dental Of Derby P.C.	CT	General Practice Dentistry	$0	$1M
Carlos Schweitzer	CT	Internal Medicine Physician	$111.7K	$379.4K
Mark Thimineur	CT	Interventional Pain Medicine Physician	$454.4K	$0
Kenneth Spector	CT	Interventional Cardiology Physician	$335.3K	$0

Griffin Faculty Physicians, Inc. — Billing Profile & Reimbursement Data

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Griffin Faculty Physicians, 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

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