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.

University Of Connecticut Health Center (NPI 1720083769)

Field	Value
Entity Type	Organization
Organization	University Of Connecticut Health Center
Address	263 Farmington Ave
City	Farmington
State	CT
ZIP	06030
Taxonomy	General Practice Physician
NPI Enumerated	June 16, 2005

Payer Source	Total Paid
Medicaid	$34.8M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file while lifetime Medicaid revenue totals $34.8M, indicating that Medicaid is the primary — and for Medicare nonexistent — payer exposure for this billing entity. Analysts should treat Medicare-based peer comparisons as inapplicable for this NPI and focus competitive analysis on in-state Medicaid activity.

Revenue is highly concentrated in evaluation-and-management office visits: the precomputed top three Medicaid codes account for 68.4% of total Medicaid revenue, driven by 99214 ($10.6M, 37.4%), 99213 ($6.7M, 23.6%), and 99204 ($2.1M, 7.4%). This concentration signals that a small set of ambulatory E/M services dominates the provider’s Medicaid revenue base, increasing sensitivity to rate or utilization shifts in those codes.

The code mix points to a large ambulatory/clinic footprint with heavy throughput of established and new patients. Extremely high volumes for 99214 (208.6K claims, $51 avg paid/claim) and 99213 (203.6K claims, $33 avg paid/claim), together with sizeable counts for new-patient codes like 99204 (28.4K claims, $74 avg paid/claim) and 99203 (36.5K claims, $44 avg paid/claim), indicate ongoing primary/outpatient care operations that manage both routine follow-ups and significant new-patient intake. The average paid/claim differentials (e.g., $74 for 99204 vs $51 for 99214) also reflect revenue materiality tied to visit complexity.

For several high-volume E/M codes the provider is a statewide outlier and effectively a dominant Medicaid supplier: 99214 ranks #7 of 1589 in-state (100th percentile; extreme outlier), 99213 ranks #9 of 1714 (100th percentile; extreme outlier), and 99204 ranks #2 of 476 (100th percentile; extreme outlier). These rank/percentile positions show the provider operates at volumes far above typical Connecticut peers for core office-visit services, implying market leadership in ambulatory E/M under Medicaid.

Beyond general E/M, there are concentrated procedural specialties where this provider also stands out. Procedure 20610 (13.6K claims, $27 avg paid/claim, $368.1K revenue) ranks #1 of 57 in-state (100th percentile; extreme outlier), and Mohs surgery 17311 (1.7K claims, $149 avg paid/claim, $260K revenue) ranks #1 of 5 (100th percentile; notably above typical), indicating material procedural throughput in musculoskeletal and dermatologic surgical services that supplement the large ambulatory practice. These specialty procedure outliers suggest the organization provides high-volume interventional or surgical services within its Medicaid population.

The provider’s Medicaid portfolio also includes meaningful imaging, obstetric, and pathology lines that support multispecialty care rather than a single-procedure shop. Examples include 76811 ($914K, 3.2%, rank #8 of 33, 78th percentile; typical, unremarkable volume), 76816 ($471.6K, 1.7%, rank #10 of 46, 80th percentile; typical, unremarkable volume), 74177 ($281.4K, 1.0%, 55th percentile; typical), and surgical pathology 88305 ($488.8K, 1.7%, 74th percentile; typical). The spread of imaging and lab codes indicates on-site or closely integrated diagnostic capacity that complements outpatient visits.

Several codes show mixed specialty and drug administration activity but are not uniformly outlier-level, which points to selective high-volume lines and broader typical-volume services elsewhere. Examples include J0585 (2.1K claims, $428 avg paid/claim, $918.9K revenue; ranks #8 of 19, 61th percentile; typical, unremarkable volume) and J0178 (670 claims, $805 avg paid/claim, $539.4K revenue; ranks #12 of 19, 39th percentile; typical, unremarkable volume), suggesting the provider administers high-cost injectables in limited volumes relative to specialist peers. This pattern indicates pockets of higher-cost drug administration but not broad dominance in injectable biologics across the Medicaid population.

The provider has long-tenured enrollment that likely contributes to its scale: NPI enumerated 2005-06-16 (~21 years ago). Combined with the extreme-outlier rankings on key E/M codes and top-line Medicaid revenue of $34.8M, tenure supports the interpretation of an established statewide clinical operation with sustained high Medicaid outpatient volume.

Medicaid: Complete Services Breakdown

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

332 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	208,640	$50	$10.6M
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…	203,640	$30	$6.7M
99204	The provider sees a new 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 provider…	28,420	$70	$2.1M
99203	The provider sees a new 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 provider…	36,530	$40	$1.6M
J0585	Injection, onabotulinumtoxina, 1 unit	2,150	$430	$918.9K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	4,290	$210	$914K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10,000	$60	$550.2K
J0178	Injection, aflibercept, 1 mg	670	$810	$539.4K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	13,970	$40	$488.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	8,900	$50	$471.6K

Showing 1–10 of 332

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

University Of Connecticut Health Center — 10 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

332 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	105	110	1,520	$140	$3.4M
J0178	Injection, aflibercept, 1 mg	12	20	1,420	$570	$2.4M
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	8	10	240	$4,150	$1M
J0585	Injection, onabotulinumtoxina, 1 unit	8	20	1,530	$380	$1M
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.	33	70	4,950	$110	$980.4K
J0897	Injection, denosumab, 1 mg	9	10	930	$640	$923.7K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	26	50	870	$510	$687.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	47	80	790	$240	$650K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	51	70	570	$480	$626.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	37	80	990	$260	$592K

Showing 1–10 of 332

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Connecticut	CT	General Acute Care Hospital	$0	$205.8M
University Dentists	CT	Dental Clinic/Center	$0	$13.8M
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

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Grund	CT	Hematology (Internal Medicine) Physician	$0	$1.4M
Gayle Klein	CT	Psychiatry Physician	$0	$1.3M
Tamer Ghaly	CT	Pain Medicine (Anesthesiology) Physician	$585.8K	$0
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

University Of Connecticut Health Center — Billing Profile & Reimbursement Data

Sign up for University Of Connecticut Health Center — Billing Profile & Reimbursement Data policy alerts

University Of Connecticut Health Center — Billing Profile & Reimbursement Data

Sign up for University Of Connecticut Health Center — 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