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 Community Support Programs, Inc. (NPI 1689733792)

Field	Value
Entity Type	Organization
Organization	Connections Community Support Programs, Inc.
Address	3821 Lancaster Pike
City	Wilmington
State	DE
ZIP	19805
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

Key Findings

CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC. reports $16.4M in lifetime Medicaid revenue and has no Medicare billing on file, so its public payment footprint is effectively single-payer (Medicaid) in scale. The provider’s NPI was enumerated 2006-12-06 (~20 years ago), indicating an established operating history in the state despite the absence of Medicare claims.

Revenue is highly concentrated: the top three Medicaid codes (H0020, 90837, 90834) account for 69.7% of this provider's total Medicaid revenue. H0020 alone represents $7M (42.7%), 90837 contributes $2.9M (17.5%), and 90834 contributes $1.5M (9.5%), signaling that a small set of services drives the majority of billed Medicaid dollars.

The code mix points to an operation focused on medication-assisted treatment and intensive psychotherapy. H0020 (methadone administration) is the largest single revenue generator ($7M) and J0575 (buprenorphine/naloxone) also appears in volume (93.7K claims, $562.5K), while high-revenue psychotherapy codes 90837 (73.3K claims, $2.9M) and 90834 (57.2K claims, $1.5M) indicate integrated SUD treatment that pairs medication provision with long and mid-length individual therapy sessions.

CONNECTIONS is a dominant statewide provider for several key SUD and behavioral-health codes: H0020 ranks #1 of 13 providers in-state at the 100th percentile (notably above typical state volume), 90837 ranks #1 of 239 providers in-state at the 100th percentile (described as an extreme outlier), and 90834 ranks #2 of 84 providers at the 99th percentile (extreme outlier). These ranks characterize the organization as a major player in Delaware for methadone services and psychotherapy.

Operational scale is reflected in very high claim volumes across multiple codes: H0020 shows 2.3M claims, 90837 has 73.3K claims, 90834 has 57.2K claims, and drug testing H0048 shows 120.6K claims ($361.9K). The combination of large per-encounter testing volume and large psychotherapy caseloads suggests significant throughput and programmatic capacity rather than a primarily low-volume outpatient clinic.

While behavioral-health visit codes are central, the provider also bills routine E/M codes and ancillary services, indicating a mixed clinical workflow. Examples include 99213 (25.5K claims, $714.3K, ranks #17 of 543), 99214 (17K claims, $647.7K), and telehealth originating site Q3014 (8.5K claims, $59.5K), which together imply that standard outpatient evaluation/management and telehealth logistics supplement the core SUD treatment services.

Several codes are flagged as statistical outliers or notably above typical volume within the state, reinforcing the provider’s concentrated specialization: 90837 is an "extreme outlier," 90834 is an "extreme outlier," 90853 (group therapy) is an "extreme outlier" and H0020, H0048, 90832, and 90853 each rank at the 100th percentile for their peer groups. These labels indicate the provider’s volumes meaningfully exceed typical state-level practice patterns for those services.

High revenue concentration in a few Medicaid codes creates potential exposure to policy or payment changes targeting methadone administration or psychotherapy reimbursement. Given that the top three codes make up 69.7% of Medicaid revenue, shifts in coverage, utilization management, or unit reimbursement for H0020, 90837, or 90834 could materially affect the provider’s Medicaid revenue stream.

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2,317,690	$1	$7M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	73,280	$40	$2.9M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	57,180	$30	$1.5M
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…	25,510	$30	$714.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	33,530	$20	$704K
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…	17,050	$40	$647.7K
J0575	Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine	93,750	$10	$562.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	120,630	$1	$361.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	50,620	$10	$354.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	8,080	$40	$331.4K

Showing 1–10 of 39

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 Community Support Programs, Inc. — 12 of 25 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	1	10	77,020	$10	$3.4M
H2036	Alcohol and/or other drug treatment program, per diem	8	10	4,900	$250	$2.8M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	3	10	1,410	$190	$390.3K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	14	20	1,500	$90	$361K
H0004	Behavioral health counseling and therapy, per 15 minutes	7	10	860	$40	$316.4K
H0038	Self‑help/peer services, per 15 minutes	3	20	2,780	$50	$261.8K
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…	35	500	1,130	$50	$235.1K
H0012	Behavioral health day treatment, per hour	2	10	1,830	$130	$229.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1	240	700	$60	$205.6K
J0575	Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine	1	10	16,090	$10	$197.9K

Showing 1–10 of 39

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$56.8M
St. Francis Hospital Inc.	DE	General Acute Care Hospital	$0	$43.2M
Always Best Care Of Delaware	DE	Home Health Agency	$0	$38.1M
State Of Delaware Dscyf	DE	Adolescent and Children Mental Health Clinic/Center	$0	$36.5M
Westside Family Healthcare, Inc.	DE	Federally Qualified Health Center (FQHC)	$0	$34.3M
Brandywine Counseling & Community Services, Inc.	DE	Adult Mental Health Clinic/Center	$170.8K	$23.9M
St Anthony's Community Center Inc	DE	Meals Provider	$0	$4.6M
Emergency Physician Associates Of Delaware PC	DE	Emergency Medicine Physician	$0	$4.2M
Horizon House Delaware Inc	DE	Case Management Agency	$0	$3.8M
Children's Dental Health Of Delaware, LLC	DE	Pediatric Dentistry	$0	$3.8M

Connections Community Support Programs, Inc. — Billing Profile & Reimbursement Data

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Connections Community Support Programs, 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