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.

Impact Health P.C. (NPI 1730694316)

Impact Health P.C. is a nurse practitioner provider located in Orange, Connecticut. This profile covers 0 Medicare and 30 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Impact Health P.C.
Address	240 Indian River Rd Ste C7
City	Orange
State	CT
ZIP	06477
Taxonomy	Nurse Practitioner
NPI Enumerated	December 5, 2017

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	62,410	$10	$749K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	19,720	$10	$236.7K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	11,470	$20	$229.4K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	15,920	$1	$63.7K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	2,430	$10	$24.3K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	6,060	$1	$24.2K
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…	2,190	$10	$13.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,180	$10	$11.8K
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…	570	$10	$5.1K
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…	430	$10	$4.3K

Showing 1–10 of 30

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

Impact Health P.C. — 4 of 24 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	868	1,590	740	$50	$331.8K
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…	1,456	1,710	750	$30	$243.3K
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…	166	420	1,230	$20	$199.3K
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…	283	570	410	$50	$197.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	9	140	330	$20	$194.5K
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…	446	480	150	$90	$100.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	13	160	720	$10	$96.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	100	560	80	$80	$90.3K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	4	40	480	$30	$80.3K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	27	50	160	$140	$73.1K

Showing 1–10 of 30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marie-paule Heylen	NY	Adult Health Nurse Practitioner	$348.2K	$0
Elizabeth Casey	CT	Family Nurse Practitioner	$253.7K	$0
Chin Cheng Tai	CT	Primary Care Nurse Practitioner	$220.2K	$0
Nicole Radi	MN	Family Nurse Practitioner	$183.1K	$0
Amanda Costella	CT	Family Nurse Practitioner	$169.1K	$0
Jillian Reid	CT	Adult Health Nurse Practitioner	$157.2K	$0
Ann Mesinger	CT	Family Nurse Practitioner	$152.5K	$0
Shannon Desimone	CT	Family Nurse Practitioner	$150.2K	$0
Jennifer Whittaker	CT	Primary Care Nurse Practitioner	$141.6K	$0
Renate Anderson	CT	Family Nurse Practitioner	$129.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Solutions Pain Management Clinic LLC	CT	Nurse Practitioner	$0	$9.2M
Med-aid LLC	CT	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Ldo, LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Lung Docs Of Ct PC	CT	Pulmonary Disease Physician	$0	$1.3M
Laura Scanlon	CT	Optometrist	$0	$1.1M
Pediatrics And Adolescent Medicine, P.C.	CT	Pediatrics Physician	$0	$1.1M
Ambulatory Dental Anesthesia Associates, LLC	CT	General Practice Dentistry	$0	$1.1M
Jeffrey Reynolds	CT	Nephrology Physician	$160.6K	$0
Bayode Afolalu	CT	Nephrology Physician	$141.6K	$0
Mark Hotchkiss	CT	Nephrology Physician	$137.4K	$0

Impact Health P.C. — Billing Profile & Reimbursement Data

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Impact Health P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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