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.

Lawrence And Memorial Hospital, Inc. (NPI 1700092459)

Key Findings

Field	Value
Entity Type	Organization
Organization	Lawrence And Memorial Hospital, Inc.
Address	365 Montauk Ave
City	New London
State	CT
ZIP	06320
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 16, 2007

Payer Source	Total Paid
Medicaid	$136.1M
Medicare	$0

This provider is effectively single-payer in the Medicare/Medicaid mix: there is no Medicare billing on file while total Medicaid revenue is $136.1M, so Medicaid accounts for the entirety of recorded government payer activity in the dataset. Analysts should treat Medicaid as the primary driver of clinical throughput and reimbursement for this hospital rather than Medicare.

Revenue is heavily concentrated in a small set of emergency-department evaluation-and-management codes: the top three Medicaid codes (99284, 99285, 99283) are the clear revenue leaders and together account for 59.4% of the provider's total Medicaid revenue. Key single-code contributions include 99284 at $24.1M (104.2K claims, $231 avg paid/claim, 22.3% of Medicaid revenue), 99285 at $22.8M (41.4K claims, $551 avg paid/claim, 21.2%), and 99283 at $17.2M (125.6K claims, $137 avg paid/claim, 16.0%).

The code mix indicates a high-volume emergency and outpatient throughput with ancillary support services: very large claim counts for ED E/M codes (99284 104.2K claims, 99283 125.6K claims) paired with hospital outpatient clinic visits (G0463 37.7K claims, $2.5M) and high-volume testing (U0003 34.6K claims, $2.1M) point to a hospital that operates a busy ED and associated outpatient services. Substantial therapeutic and infusion activity is also present (97110 85.3K claims, $4.8M; 96374 31.1K claims, $4.4M), suggesting integrated PT and infusion workflows supporting ED/discharge and ambulatory care.

Competitive standing in-state is strong for emergency services: the provider ranks #3 of 114 for 99283 (98th percentile; notably above typical state volume) and #8 of 127 for 99284 (94th percentile; notably above typical state volume), while 99285 ranks #24 of 129 (82th percentile; typical, unremarkable volume). G0382 (level 3 hospital ED visit) is an outlier at #1 of 7 (100th percentile; notably above typical state volume), reinforcing that this hospital is a leading ED provider in Connecticut by volume for several mid-to-high acuity visit levels.

Beyond emergency care, the hospital reports meaningful volumes across imaging, cardiology, and critical care procedures that diversify Medicaid revenue: CT abdomen/pelvis with contrast 74177 produced $2.2M (11.8K claims), transthoracic echo 93306 produced $1.6M (6.9K claims), and critical care 99291 accounted for $1.7M (2K claims). These line items indicate that the ED-dominant revenue profile is supported by inpatient/observation imaging and ICU-level services rather than being confined solely to minor outpatient procedures.

Several codes are flagged as statistical outliers or notably above typical state volumes and therefore define operational specialties to monitor: 99283 and 99284 are both described as "notably above typical state volume," as are therapy codes 97110 and 97530 (97th percentile for both), and speech/aural rehabilitation 92507 (93th percentile; notably above typical state volume). These labels point to unusually high state-level activity in emergency evaluation and therapeutic rehabilitation relative to peers and should be considered when modeling capacity and referral patterns.

Operational scale is visible in raw claim counts across multiple service lines, not just revenue: high claim totals such as 125.6K claims for 99283, 104.2K for 99284, 85.3K for 97110, and 34.6K for U0003 reflect sustained patient volume that drives the $136.1M Medicaid revenue figure. For payers and network planners, these counts imply substantial visit throughput and potential downstream utilization tied to this facility's ED and outpatient operations.

The provider has an established operating history with an NPI enumeration date of 2007-05-16 (~19 years ago), indicating long-tenure market presence. Combined with the concentration in Medicaid and the ED-dominant code mix, this tenure supports a conclusion of a well-established community acute-care hospital whose Medicaid footprint and high-volume emergency services make it a notable in-state player for payers analyzing regional capacity and referral networks.

Medicaid: Complete Services Breakdown

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

551 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	104,180	$230	$24.1M
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.	41,420	$550	$22.8M
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.	125,590	$140	$17.2M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	85,280	$60	$4.8M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	31,130	$140	$4.4M
G0382	Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	26,930	$150	$4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	37,740	$70	$2.5M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	25,390	$100	$2.4M
G0383	Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	12,590	$190	$2.3M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11,810	$190	$2.2M

Showing 1–10 of 551

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

Lawrence And Memorial Hospital, Inc. — 4 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

551 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	14	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.	24	130	520	$330	$5.9M
J9271	Injection, pembrolizumab, 1 mg	9	10	210	$5,070	$5.8M
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.	8	130	690	$180	$4.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14	40	23,540	$140	$3.7M
G0384	Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	3	10	3,740	$540	$3.6M
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.	3	110	1,520	$140	$3.4M
G0382	Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	1	10	9,120	$160	$1.5M
S9480	Intensive outpatient psychiatric services, per diem	34	60	5,640	$110	$1.3M
G0383	Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	2	10	4,600	$210	$1.3M

Showing 1–10 of 551

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lawrence And Memorial Hospital, Inc.	CT	General Acute Care Hospital	$0	$1.6M
Richard Thoms	CT	Orthopaedic Surgery Physician	$227.5K	$0
Peter Willis	RI	Family Medicine Physician	$68.8K	$66.7K
David Frederiks	CT	Hospitalist Physician	$84.5K	$0
Emma Cahoon	RI	Physician Assistant	$20.5K	$41.6K
Erik Enquist	RI	Urology Physician	$59.7K	$0
Danielle Miano	CT	Emergency Medicine Physician	$51.9K	$0
Peter Bertolozzi	CT	Emergency Medicine Physician	$51.2K	$0
Jonathan Quang	CT	Emergency Medicine Physician	$28.2K	$15.9K
Alan Lozano	CT	Physician Assistant	$25.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Child And Family Agency Of Southeastern Connecticut, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Connecticut Behavioral Health Assoc, P.C.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
City Of New London	CT	Land Ambulance	$326K	$4.7M
New London Public Schools	CT	Student in an Organized Health Care Education/Training Program	$0	$4.2M
Sound Community Services, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.7M
Helar Campos Md & Associates Family Medical Center, LLC	CT	Family Medicine Physician	$0	$3.5M
New London Dental Care, LLC	CT	General Practice Dentistry	$0	$2.9M
Dva Healthcare Of New London LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Child And Family Agency Of Southeastern Connecticut, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.8M
Ocean Radiology Associates PC	CT	Diagnostic Radiology Physician	$0	$1.7M

Lawrence And Memorial Hospital, Inc. — Billing Profile & Reimbursement Data

Sign up for Lawrence And Memorial Hospital, Inc. — Billing Profile & Reimbursement Data policy alerts

Lawrence And Memorial Hospital, Inc. — Billing Profile & Reimbursement Data

Sign up for Lawrence And Memorial Hospital, Inc. — Billing Profile & Reimbursement Data policy alerts

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