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.

Danbury Hospital (NPI 1619938016)

Danbury Hospital is a general acute care hospital provider located in New Milford, Connecticut. This profile covers 0 Medicare and 154 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	Danbury Hospital
Address	21 Elm St
City	New Milford
State	CT
ZIP	06776
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 28, 2006

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

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

154 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	26,240	$140	$3.8M
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.	18,550	$180	$3.3M
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.	7,180	$340	$2.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,120	$150	$893.7K
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.	2,580	$200	$520.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,630	$110	$409.6K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6,390	$60	$408.8K
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…	1,670	$190	$319.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	2,670	$120	$311.8K
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.	4,800	$60	$273.8K

Showing 1–10 of 154

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

Danbury Hospital — 0 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

154 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	27	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.	47	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.	40	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.	27	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.	33	110	1,520	$140	$3.4M
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.	27	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…	24	40	1,910	$190	$1.1M
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	28	30	7,070	$130	$1.1M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	28	40	5,360	$120	$1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	41	50	3,340	$60	$1M

Showing 1–10 of 154

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danbury Hospital	CT	General Acute Care Hospital	$0	$123.8M
Crystal Run Healthcare Physicians LLP	NY	General Practice Physician	$0	$34.1M
Nuvance Health Medical Practice Ct, Inc.	CT	Internal Medicine Physician	$0	$20.2M
Granit Veseli	CT	Clinical Cardiac Electrophysiology Physician	$567.3K	$10
Michael Spiegel	CT	Rheumatology Physician	$488.7K	$0
Sydney Page	CT	Medical Physician Assistant	$398.3K	$0
Sanjay Gupta	CT	Orthopaedic Surgery Physician	$397.9K	$0
Behzad Habibi Khameneh	CT	Neurology Physician	$394.4K	$0
Donald Sonn	MA	Urology Physician	$367.6K	$0
Gillian Levy	CT	Anatomic Pathology & Clinical Pathology Physician	$361.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Candlewood Valley Pediatrics, P.C.	CT	Pediatrics Physician	$0	$3.3M
Glendy Schweitzer And Associates, LLC	CT	Professional Counselor	$0	$2M
Roman Alder Md LLC	CT	Pediatrics Physician	$0	$1.8M
New Milford Public School	CT	Local Education Agency (LEA)	$0	$1.3M
New Milford Community Ambulance Corp	CT	Land Ambulance	$330K	$783.2K
John Mullen	CT	Orthopaedic Surgery Physician	$300.7K	$0
Michael Levine	CT	Cardiovascular Disease Physician	$269K	$0
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$209.4K	$46.9K
Robert Yaghoubian	CT	Orthopaedic Hand Surgery Physician	$148.2K	$0
Thomas Guglielmo	CT	Podiatrist	$141.5K	$0

Danbury Hospital — Billing Profile & Reimbursement Data

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Danbury Hospital — 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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