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.

Optimus Health Care (NPI 1669548376)

Field	Value
Entity Type	Organization
Organization	Optimus Health Care
Address	471 Barnum Ave
City	Bridgeport
State	CT
ZIP	06608
Taxonomy	Dental Clinic/Center
NPI Enumerated	November 27, 2006

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	71,470	$120	$8.4M
D0120	Periodic oral evaluation - established patient	15,690	$0	$0
D0140	Limited oral evaluation – problem focused	4,130	$0	$0
D0150	Comprehensive oral evaluation – new or established patient	7,400	$0	$0
D0190	N/A	790	$0	$0
D0191	N/A	40	$0	$0
D0220	Intraoral - periapical first radiographic image	22,450	$0	$0
D0230	Intraoral - periapical each additional radiographic image	32,370	$0	$0
D0272	N/A	2,260	$0	$0
D0274	N/A	12,010	$0	$0

Showing 1–10 of 26

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

Optimus Health Care — 0 of 1 code 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	21	70	830	$150	$24M
D2392	Post 2 surface resin‑based composite	135	390	620	$80	$144.8K
D1120	Prophylaxis–child	43	660	570	$40	$120.7K
D2391	Resin‑based composite – one surface, posterior	62	330	430	$60	$89.4K
D0120	Periodic oral evaluation - established patient	30	730	700	$30	$80.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	166	210	370	$70	$79.3K
D1351	Sealant - per tooth	26	190	580	$30	$70K
D1208	Topical application of fluoride - excluding varnish	99	560	740	$20	$66.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30	300	300	$20	$61.6K
D2393	Resin-based composite, three surfaces, posterior	219	220	130	$100	$54.5K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Optimus Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optimus Health Care Inc	CT	Federally Qualified Health Center (FQHC)	$0	$100.4M
Optimus Health Care	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$33.1M
Deena Ebright	CT	Internal Medicine Physician	$85.4K	$0
Shakeilla Smithbey	TX	Family Medicine Physician	$84.9K	$0
Jennifer Gilbert	CT	Family Nurse Practitioner	$71.7K	$0
Joseph Feuerstein	CT	Family Medicine Physician	$66.9K	$0
Gustavo Herrera-brito	CT	Adult Health Nurse Practitioner	$54.9K	$0
Luis Rojas	CT	Family Nurse Practitioner	$35.2K	$0
Prajay Rathore	CT	Internal Medicine Physician	$33K	$150

Nearby Providers

Other providers in the same ZIP code as Optimus Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Skmp Enterprises, Inc.	CT	Land Ambulance	$2.3M	$4.7M
Chemical Abuse Services Agency, Inc.	CT	Community/Behavioral Health Agency	$0	$3.2M
Vicarah, LLC	CT	Home Health Agency	$0	$1.2M

Optimus Health Care — Billing Profile & Reimbursement Data

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Optimus Health Care — 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