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 Multi Specialty Group, Inc (NPI 1649265679)

Bristol Hospital Multi Specialty Group, Inc is a general practice physician provider located in Bristol, Connecticut. This profile covers 0 Medicare and 119 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	Bristol Hospital Multi Specialty Group, Inc
Address	15 Riverside Ave
City	Bristol
State	CT
ZIP	06010
Taxonomy	General Practice Physician
NPI Enumerated	September 15, 2005

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

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

119 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…	95,470	$40	$3.3M
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…	59,620	$30	$1.5M
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…	16,110	$20	$338.4K
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…	5,500	$60	$308.2K
99203	The provider sees a new 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 provider…	7,120	$40	$277.5K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	5,150	$30	$144.3K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	21,860	$10	$131.2K
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…	4,000	$30	$124K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,630	$70	$120.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	2,360	$40	$99.2K

Showing 1–10 of 119

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 Multi Specialty Group, Inc — 5 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

119 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	38	40	1,910	$190	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	13	20	1,530	$380	$1M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	47	50	870	$510	$687.2K
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…	59	80	790	$240	$650K
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…	35	100	1,120	$120	$564.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	41	90	3,980	$40	$424.8K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	10	30	730	$110	$343.7K
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…	17	1,590	740	$50	$331.8K
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.	51	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…	37	1,710	750	$30	$243.3K

Showing 1–10 of 119

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bristol Hospital Incorporated	CT	General Acute Care Hospital	$0	$68.1M
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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wheeler Clinic Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$21.8M
Bristol Hospital Ems, LLC	CT	Land Ambulance	$1M	$7.1M
Hartford County Oral Maxillofacial & Implant Surgery PC	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$7.9M
The Pediatric Care Center, LLC	CT	Pediatrics Physician	$0	$7.8M
City Of Bristol	CT	Local Education Agency (LEA)	$0	$6M
Kids Dental Care, LLC	CT	Pediatric Dentistry	$0	$5.9M
Usacs Of Connecticut, LLC	CT	Emergency Medicine Physician	$0	$3.7M
Pediatric Associates, LLC	CT	Primary Care Clinic/Center	$0	$3.7M
Bristol Oral Surgery & Implant Center	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$2.8M
Tiny Teeth General Dentistry LLC	CT	Pediatric Dentistry	$0	$2.5M

Bristol Hospital Multi Specialty Group, 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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