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.

Ct Rehabilitation & Spasticity Care, LLC (NPI 1629356431)

Field	Value
Entity Type	Organization
Organization	Ct Rehabilitation & Spasticity Care, LLC
Address	340 N Main St
City	Southington
State	CT
ZIP	06489
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	July 27, 2011

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0586	Injection, abobotulinumtoxina, 5 units	6,820	$440	$3M
J0475	Injection, baclofen, 10 mg	2,590	$370	$966.4K
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…	2,320	$30	$71.9K
62370	The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…	2,350	$30	$70.6K
64644	The provider injects a chemical, such as Botox®, into 5 or more muscles of one extremity to relieve a patient's pain and spasms.	1,790	$40	$68.1K
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…	3,800	$20	$60.8K
95874	In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…	4,290	$10	$47.2K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	1,890	$20	$39.6K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	1,140	$30	$31.9K
64645	The provider injects a chemical, such as Botox®, into 5 or more muscles of an additional extremity after the first to relieve a patient's pain and spasms.	120	$40	$4.2K

Showing 1–10 of 11

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

Ct Rehabilitation & Spasticity Care, LLC — 5 of 10 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0586	Injection, abobotulinumtoxina, 5 units	1	10	5,420	$410	$2.2M
J0475	Injection, baclofen, 10 mg	2	10	2,590	$380	$673.1K
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…	497	1,590	740	$50	$331.8K
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…	411	1,710	750	$30	$243.3K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	3	10	290	$180	$129.4K
62370	The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…	1	10	1,240	$30	$38.1K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	1	10	650	$20	$14.3K
64644	The provider injects a chemical, such as Botox®, into 5 or more muscles of one extremity to relieve a patient's pain and spasms.	1	10	40	$40	$14.3K
64645	The provider injects a chemical, such as Botox®, into 5 or more muscles of an additional extremity after the first to relieve a patient's pain and spasms.	1	10	120	$30	$4.1K
95874	In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…	1	10	150	$10	$4K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ct Rehabilitation & Spasticity Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Raymond	CT	Physical Medicine & Rehabilitation Physician	$877.4K	$0

Nearby Providers

Other providers in the same ZIP code as Ct Rehabilitation & Spasticity Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Little Tooth Company Pediatric Dentistry LLC	CT	Pediatric Dentistry	$0	$4.4M
Hop Brook Counseling Center, LLC	CT	Clinical Psychologist	$0	$2.2M
Smile Rite Dental Care LLC	CT	Dentist	$0	$2M
Nirmala Panwar	CT	General Practice Physician	$18.7K	$1.6M
Connecticut Support Services Holdings, LLC	CT	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Southington Board Of Education	CT	Local Education Agency (LEA)	$0	$1.1M
Connecticut Cvs Pharmacy LLC	CT	Pharmacy	$180.3K	$41.8K
Joshua Rock	CT	Cardiovascular Disease Physician	$171K	$0
Farid Shafik	CT	Ophthalmology Physician	$162.1K	$0
Matthew Maler	CT	Orthopedic Physical Therapist	$108.8K	$0

Ct Rehabilitation & Spasticity Care, LLC — Billing Profile & Reimbursement Data

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Ct Rehabilitation & Spasticity Care, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References