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.

State Of Connecticut (NPI 1669466561)

Field	Value
Entity Type	Organization
Organization	State Of Connecticut
Address	263 Farmington Avenue
City	Farmington
State	CT
ZIP	06030
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 7, 2005

Payer Source	Total Paid
Medicaid	$205.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the claims universe: Medicare activity is absent (no Medicare billing on file) while total Medicaid revenue is $205.8M, making Medicaid the sole material payor driving its revenue base. The absence of Medicare claims means the provider’s financial and operational exposure is concentrated in Medicaid reimbursement policies and managed‑care arrangements.

Revenue concentration is significant at the code level: the precomputed top three Medicaid codes (G0463, J3357, 99284) account for 36.6% of this provider’s total Medicaid revenue. Those three codes break down as G0463 $20.7M (14.5% of Medicaid revenue), J3357 $17.1M (12.0%), and 99284 $14.5M (10.1%), indicating a narrow set of services disproportionately responsible for revenue.

The service mix implied by the top codes points to a combined outpatient clinic, specialty biologic/infusion, and emergency department orientation. G0463 (hospital outpatient clinic visits) and multiple high‑cost J‑codes (J3357, J2350, J3241, J0791, J1459, J1745) together with infusion administration codes (96372, 96374, 96365, 96413) suggest substantial specialty drug delivery and infusion center capacity alongside ambulatory clinic throughput.

Emergency services are a major volume and revenue driver: 99284 shows 102.7K claims and $14.5M revenue (rank #9 of 127 providers in‑state, 94th percentile), and related ED codes 99285 (32.9K claims, $10.5M, rank #28 of 129, 79th percentile) and 99283 (79.3K claims, $8.2M, rank #11 of 114, 91st percentile) together imply high ED throughput and material Medicaid revenue dependence on emergency care.

The provider is a statewide leader or extreme outlier on several specialized procedures and drug lines. It ranks #1 of 25 providers for 64483 at the 100th percentile (labeled an "extreme outlier, far above typical state volume for this code"), and ranks #1 of 6 providers for 27130 at the 100th percentile ("notably above typical state volume for this code"), while high percentiles for infusion and chemo administration codes (e.g., 96365 rank #2 of 41, 98th percentile; 96372 rank #7 of 195, 97th percentile) reinforce a dominant statewide position in procedure and infusion throughput.

Several high‑cost biologic J‑codes are billed at scale and in some cases uniquely within the state, indicating specialty or center‑of‑excellence capabilities. J3357 (ustekinumab) produced $17.1M and is listed as rank #1 of 1 providers in‑state (0th percentile; no state peer volume comparison available), and J3241 and J0791 also appear as sole in‑state reporters; this pattern points to the provider being a primary delivery site for select specialty biologics.

Operationally, the provider’s longevity is established — NPI enumerated 2005-09-07 (~21 years ago) — which supports interpretation of these patterns as sustained capabilities rather than a short‑term spike. That tenure combined with repeated high‑percentile ranks across procedure and infusion codes suggests entrenched service lines (ED, infusion/infusion pharmacy, and interventional pain/orthopedics).

The payer concentration and code concentration together create both negotiation leverage and downside exposure: with Medicaid at $205.8M and no Medicare billing on file, the provider is highly sensitive to Medicaid rate setting and coverage changes. At the same time, the concentration of 36.6% of Medicaid revenue in three codes (G0463, J3357, 99284) and the provider’s leadership positions on high‑cost biologics and certain procedures represent clear levers for targeted contracting or managed care strategies.

Medicaid: Complete Services Breakdown

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

778 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	259,220	$80	$20.7M
J3357	Ustekinumab, for subcutaneous injection, 1 mg	2,200	$7,800	$17.1M
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.	102,710	$140	$14.5M
J2350	Injection, ocrelizumab, 1 mg	690	$17,730	$12.3M
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.	32,930	$320	$10.5M
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.	79,290	$100	$8.2M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	28,750	$230	$6.7M
J1459	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg	6,330	$930	$5.9M
J3241	Injection, teprotumumab-trbw, 10 mg	250	$20,290	$5M
J0791	Injection, crizanlizumab-tmca, 5 mg	1,130	$3,920	$4.4M

Showing 1–10 of 778

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

State Of Connecticut — 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

778 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	3	10	1,310	$17,340	$21.6M
J3357	Ustekinumab, for subcutaneous injection, 1 mg	1	10	2,200	$7,800	$17.1M
J1459	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg	2	10	6,330	$1,000	$8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3	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.	28	130	520	$330	$5.9M
J9271	Injection, pembrolizumab, 1 mg	7	10	210	$5,070	$5.8M
J3241	Injection, teprotumumab-trbw, 10 mg	1	10	250	$20,290	$5M
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.	9	130	690	$180	$4.7M
J0791	Injection, crizanlizumab-tmca, 5 mg	1	10	1,130	$3,920	$4.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10	40	23,540	$140	$3.7M

Showing 1–10 of 778

Related Providers

Other providers that share a Tax Identification Number (TIN) with State Of Connecticut, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Connecticut Health Center	CT	General Practice Physician	$0	$34.8M
State Of Connecticut	CT	Psychiatric Hospital	$0	$3.6M
Michael Ruddat	CT	Ophthalmology Physician	$2.7M	$0
Asad Nasir	FL	Nuclear Medicine Physician	$2.2M	$0
Thomas Ward	CT	Ophthalmology Physician	$1.3M	$0
Jonathan Moseley	CT	Internal Medicine Physician	$740	$1.2M
Hanspaul Makkar	CT	MOHS-Micrographic Surgery Physician	$1M	$0
University Of Connecticut Health Center	CT	Clinical Medical Laboratory	$396.3K	$580.4K
Yale University	CT	Clinical Medical Laboratory	$946.4K	$390
Tamer Ghaly	CT	Pain Medicine (Anesthesiology) Physician	$585.8K	$0

Nearby Providers

Other providers in the same ZIP code as State Of Connecticut, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Dentists	CT	Dental Clinic/Center	$0	$13.8M
Stephen Grund	CT	Hematology (Internal Medicine) Physician	$0	$1.4M
Gayle Klein	CT	Psychiatry Physician	$0	$1.3M
Amish Patel	CT	Diagnostic Radiology Physician	$284.6K	$0
Daniel Witmer	CT	Orthopaedic Surgery Physician	$214.5K	$0
Elizabeth Simmons	CT	Ophthalmology Physician	$205.3K	$0
Asante Mendes	CT	Psychiatry Physician	$196.7K	$0
Naveed Alvi	CT	Diagnostic Radiology Physician	$131.1K	$0
Hilary Onyiuke	CT	Neurological Surgery Physician	$120.6K	$0
Joseph O'keefe	CT	Physical Medicine & Rehabilitation Physician	$120.2K	$0

State Of Connecticut — 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