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.

Surgi-care, Inc (NPI 1750582920)

Field	Value
Entity Type	Organization
Organization	Surgi-care, Inc
Address	20 Tuttle Pl Ste 5
City	Middletown
State	CT
ZIP	06457
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	May 29, 2007

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	7,820	$170	$1.3M
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	4,690	$120	$576.4K
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	6,460	$70	$426.5K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	12,300	$30	$369K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	8,810	$40	$361.1K
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific…	4,070	$80	$341.6K
L4350	Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf	5,860	$60	$333.7K
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	2,290	$50	$121.2K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	1,250	$50	$65.1K
L1832	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to…	850	$60	$51.9K

Showing 1–10 of 23

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

Surgi-care, Inc — 10 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	2	10	4,330	$70	$259.2K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	1	20	140	$160	$155.3K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	1	10	240	$120	$145.6K
L4350	Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf	1	10	960	$50	$101K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	1	10	930	$30	$99.3K
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific…	1	10	190	$80	$79.9K
L1832	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to…	1	10	850	$60	$51.6K
L3924	Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf	1	10	1,150	$40	$43.4K
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	2	10	210	$50	$38.7K
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	2	10	540	$60	$37.7K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Surgi-care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Surgi-care Inc	MA	Prosthetic/Orthotic Supplier	$0	$18.9M
Surgi-care, Inc	ME	Prosthetic/Orthotic Supplier	$0	$5.6M
Surgicare Inc	ME	Prosthetic/Orthotic Supplier	$0	$3.5M
Surgi-care Inc	VT	Prosthetic/Orthotic Supplier	$0	$1.7M
Surgi-care Inc	NH	Prosthetic/Orthotic Supplier	$0	$397.4K

Nearby Providers

Other providers in the same ZIP code as Surgi-care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Inc	CT	Federally Qualified Health Center (FQHC)	$0	$533.4M
Middlesex Hospital	CT	General Acute Care Hospital	$0	$116.1M
Rushford Center Inc	CT	Substance Abuse Rehabilitation Facility	$0	$23M
Pursuecare, LLC	CT	Addiction Medicine (Preventive Medicine) Physician	$0	$9.8M
Gilead Community Services, Inc.	CT	Adult Mental Health Clinic/Center	$0	$8.9M
Middlesex Hospital	CT	Family Nurse Practitioner	$0	$7.5M
Mhs Primary Care, Inc	CT	Family Medicine Physician	$0	$5.4M
City Of Middletown	CT	Local Education Agency (LEA)	$0	$4.2M
Unison Health Services, Inc.	CT	Home Health Agency	$0	$3.8M
Middlesex Hospital	CT	Land Ambulance	$1.4M	$2M

Surgi-care, Inc — Billing Profile & Reimbursement Data

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Surgi-care, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References