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 Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware 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. Delaware (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.

Connections Csp, Inc. (NPI 1679704746)

Field	Value
Entity Type	Organization
Organization	Connections Csp, Inc.
Address	500 W 10th St
City	Wilmington
State	DE
ZIP	19801
Taxonomy	Intellectual & Developmental Disabilities Psychologist
NPI Enumerated	August 6, 2009

Payer Source	Total Paid
Medicaid	$28.5M
Medicare	$0

Key Findings

CONNECTIONS CSP, INC. is effectively a Medicaid-focused provider: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $28.5M, which indicates the organization operates almost entirely within the Medicaid payment stream rather than Medicare. This single-payer concentration has implications for contract strategy and risk exposure tied to state waiver and habilitation reimbursement policies.

Revenue is highly concentrated in a small set of waiver/habilitation codes: the precomputed top 3 Medicaid codes account for 96.2% of this provider's total Medicaid revenue, signaling that a very large share of the business comes from a narrow set of service lines and payer program buckets. That concentration suggests the organization’s operational and financial performance will be particularly sensitive to changes in those specific Medicaid reimbursement rates or eligibility rules.

T2025 is the dominant revenue driver: T2025 (Waiver services; not otherwise specified (nos)) generated $16.5M in revenue and represents 57.7% of this provider's total Medicaid revenue with an average paid/claim of $2818 over 5.8K claims. Despite its outsized contribution to this provider’s revenue base, the provider ranks #8 of 10 providers in-state (22th percentile), a position that the state data labels as typical or unremarkable volume for this code.

T2016 is the second major revenue source and also reflects residential habilitation operations: T2016 (Habilitation, residential, waiver; per diem) produced $10.3M (36.2% of total Medicaid revenue) across 3.2K claims with an average paid/claim of $3229. The provider ranks #7 of 9 in-state (25th percentile) for T2016, likewise characterized as a typical, unremarkable regional volume despite the code’s large share of the provider’s Medicaid revenue.

The third high-revenue habilitation code is T2020, but it represents a much smaller share of the mix: T2020 (Day habilitation, waiver; per diem) accounted for $649.1K (2.3% of total Medicaid revenue) with 2.8K claims and an average paid/claim of $233. The provider ranks #10 of 11 in-state (10th percentile) for T2020, noted as typical and indicating limited market presence for day habilitation relative to other in-state providers.

Ancillary codes show additional operational breadth and some regional strength: G0175 (Scheduled interdisciplinary team conference with patient present) tallied 12.9K claims and $644.2K revenue (2.3% of total Medicaid revenue) and ranks #6 of 9 in-state (38th percentile), while T1001 (Nursing assessment / evaluation) produced $445.4K (1.6% of total Medicaid revenue) on 8.6K claims and ranks #6 of 51 in-state (90th percentile). The 90th percentile placement on T1001 suggests comparatively high statewide activity in nursing assessment relative to peers, even though that code is a small share of overall Medicaid revenue.

Business/service-line implications from the code mix are clear: the dominant codes (T2025, T2016, T2020) are all waiver and habilitation services, indicating the provider’s core operations are residential and waiver-based supports for individuals with intellectual and developmental disabilities. This aligns with the provider’s Taxonomy of Intellectual & Developmental Disabilities Psychologist and implies the organization’s staffing, billing, and care-management infrastructure is oriented toward long-term habilitation and waiver program administration.

Tenure and potential operational stability: the provider’s NPI was enumerated on 2009-08-06 (~17 years ago), showing long-term enrollment in the NPI registry which may reflect established operational processes and sustained participation in state Medicaid waiver networks. Given the provider’s longevity and the concentrated revenue mix, analysts should monitor state waiver policy changes and reimbursement trends because shifts there would disproportionately affect this entity.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	5,840	$2,820	$16.5M
T2016	Habilitation, residential, waiver; per diem	3,190	$3,230	$10.3M
T2020	Day habilitation, waiver; per diem	2,790	$230	$649.1K
G0175	Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present	12,880	$50	$644.1K
T1001	Nursing assessment / evaluation	8,570	$50	$445.4K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.

Claims Volume vs. Delaware Distribution

Connections Csp, Inc. — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	8	10	37,650	$670	$43M
T2016	Habilitation, residential, waiver; per diem	7	10	23,150	$620	$21.9M
T2020	Day habilitation, waiver; per diem	10	10	19,250	$120	$6.3M
G0175	Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present	6	10	20,370	$50	$986.1K
T1001	Nursing assessment / evaluation	6	50	1,950	$50	$294K

Nearby Providers

Other providers in the same ZIP code as Connections Csp, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services, Inc.	DE	General Acute Care Hospital	$0	$99.4M
Neighborly Home Care	DE	In Home Supportive Care Agency	$0	$21.5M
Caring Angels Homecare Agency, Inc.	DE	Home Health Agency	$0	$21M
Delaware Guidance Services For Children & Youth, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.4M
State Of De	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.1M
Christiana Care Health Services Inc	DE	Family Medicine Physician	$0	$5.6M
Crescent Dental, LLC	DE	Dentist	$0	$5.1M
Christiana Care Health Services, Inc	DE	Psychiatry Physician	$0	$2.9M
Steps Center LLC	DE	Home Health Agency	$0	$2.9M
The Life Center Complex, Inc	DE	Student Health Clinic/Center	$0	$2.7M

Connections Csp, Inc. — Billing Profile & Reimbursement Data

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Connections Csp, Inc. — 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

Nearby Providers

Frequently Asked Questions

References