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.

Bristol Hospital Incorporated (NPI 1619901642)

Key Findings

Field	Value
Entity Type	Organization
Organization	Bristol Hospital Incorporated
Address	41 Brewster Rd
City	Bristol
State	CT
ZIP	06011
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$68.1M
Medicare	$0

BRISTOL HOSPITAL INCORPORATED is effectively a single-payer Medicaid operation in the available data: there is no Medicare billing on file while total Medicaid revenue on file is $68.1M. This payer mix indicates the provider’s public–program footprint is concentrated in Medicaid rather than Medicare reimbursement streams.

Revenue is highly concentrated in a small set of outpatient/ED services: the top three Medicaid codes (99284, 99283, 96374) together account for 50.0% of the provider’s total Medicaid revenue, with 99284 at $12M (23.0%), 99283 at $10.4M (20.0%), and 96374 at $3.7M (7.0%). That concentration signals that a handful of high-frequency E/M and infusion procedures drive the bulk of cash flow.

The code mix points to a heavy emergency department and acute-care throughput: 99284 (47K claims, $12M) and 99283 (56.8K claims, $10.4M), supported by 99285 and 99291 volumes, indicate routine handling of moderate- to high-acuity ED visits and critical care billing. This pattern is consistent with a hospital whose outpatient and ED service lines are major operational drivers.

Infusion- and IV-related codes are a material secondary revenue stream: 96374 shows 29.3K claims and $3.7M in revenue, and related codes (96361, 96365, 96360, 96375) appear throughout the top codes list. These entries indicate substantial throughput of IV medication and hydration services that may reflect either ED treatment patterns or an organized infusion capability.

Rehabilitation and therapy services are also significant: 97110 appears with 74.2K claims and $1.9M (ranked in the 96th percentile and described as notably above typical state volume for this code), while 97010 has 41.7K claims and $2.6M (also 96th percentile but labeled typical, unremarkable volume for this code). Together these therapy codes imply a busy outpatient rehab/therapy program alongside the hospital’s acute care activity.

Imaging and diagnostic procedures are a steady component of revenue mix, with CT of the abdomen/pelvis (74177 at $1.7M), chest radiographs (71046/71045), echocardiography (93306), and nuclear cardiology (78452) appearing in the top codes. This spread of advanced and routine imaging suggests broad diagnostic capacity supporting both ED and ambulatory care.

Competitive standing within Connecticut is mixed: ED E/M codes rank in mid-to-high state percentiles (99284 ranks #26 of 127, 80th percentile; 99283 ranks #18 of 114, 85th percentile) and are characterized as typical, unremarkable volume for those codes, indicating the hospital is an established in-state participant but not a statewide outlier for emergency billing. By contrast, certain therapy volumes (97110) are described as notably above typical state volume, signaling pockets of relative strength versus peers.

The provider has long operational tenure: its NPI was enumerated on 2006-07-10 (~20 years ago), consistent with an established hospital entity whose billing patterns reflect mature ED, infusion, therapy, and imaging service lines rather than a new entrant’s profile.

Medicaid: Complete Services Breakdown

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

430 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	46,970	$260	$12M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	56,770	$180	$10.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	29,250	$130	$3.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	7,620	$470	$3.6M
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	41,720	$60	$2.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	30,130	$70	$2M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	74,210	$30	$1.9M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	9,970	$170	$1.7M
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…	2,820	$560	$1.6M
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.	2,510	$480	$1.2M

Showing 1–10 of 430

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

Bristol Hospital Incorporated — 2 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

430 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	15	40	21,520	$90	$8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	46	130	520	$330	$5.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	26	130	690	$180	$4.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	15	40	23,540	$140	$3.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	18	110	1,520	$140	$3.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	10	10	2,820	$160	$1.6M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	54	70	3,710	$120	$1.6M
S9480	Intensive outpatient psychiatric services, per diem	18	60	5,640	$110	$1.3M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	13	30	17,770	$50	$1.1M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	15	40	1,910	$190	$1.1M

Showing 1–10 of 430

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bristol Hospital Multi Specialty Group, Inc	CT	General Practice Physician	$0	$7.5M
Lisa Haut	CT	Family Nurse Practitioner	$0	$1.6M
Bristol Hospital Multi-specialty Group, Inc.	CT	Psychiatry Physician	$0	$1.3M
Nauman Piracha	CT	Hospitalist Physician	$489.5K	$104.3K
NPI 1457647281	—	—	$306.9K	$0
Amirhossein Zangiabadi	CA	Neurology Physician	$274.7K	$0
York Moy	CT	Urology Physician	$257.8K	$0
Matthew Grosso	CT	Orthopaedic Surgery Physician	$219K	$0
Anthony Kim	CT	Urology Physician	$210.9K	$0
Jayne Cluett	CT	Obstetrics & Gynecology Physician	$6.2K	$202.5K

Bristol Hospital Incorporated — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References