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.

General Hearing (NPI 1750621553)

Field	Value
Entity Type	Organization
Organization	General Hearing
Address	144 Fairfield Ave
City	Waterbury
State	CT
ZIP	06708
Taxonomy	Hearing Instrument Specialist
NPI Enumerated	February 15, 2013

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V5140	Binaural, behind the ear	3,940	$540	$2.1M
V5160	Dispensing fee, binaural	3,940	$410	$1.6M
V5264	Ear mold/insert, not disposable, any type	3,960	$60	$229.7K
V5011	Fitting/orientation/checking of hearing aid	3,960	$50	$178.1K
V5010	Assessment for hearing aid	4,090	$20	$90K
V5266	Battery for use in hearing device	3,950	$20	$71.1K
V5267	Hearing aid or assistive listening device/supplies/accessories, not otherwise specified	20	$50	$800
V5014	Repair/modification of a hearing aid	20	$30	$400

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

General Hearing — 5 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V5140	Binaural, behind the ear	1	10	390	$450	$444.6K
V5160	Dispensing fee, binaural	1	10	460	$400	$312.6K
V5264	Ear mold/insert, not disposable, any type	1	10	730	$50	$52K
V5010	Assessment for hearing aid	1	10	500	$30	$32.4K
V5011	Fitting/orientation/checking of hearing aid	1	10	170	$40	$30K
V5266	Battery for use in hearing device	3	30	530	$20	$27.3K
V5014	Repair/modification of a hearing aid	7	10	430	$20	$23.4K
V5267	Hearing aid or assistive listening device/supplies/accessories, not otherwise specified	3	10	30	$10	$2.1K

Nearby Providers

Other providers in the same ZIP code as General Hearing, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Waterbury, Inc.	CT	General Acute Care Hospital	$0	$84.6M
Access Rehab Centers, LLC	CT	Rehabilitation Clinic/Center	$0	$36.9M
Emergency Physicians Of Connecticut PC	CT	Emergency Medicine Physician	$0	$10.8M
Connecticut Counseling Centers Inc	CT	Methadone Clinic	$196.2K	$9.9M
Pediatric Assoc Of Conn PC	CT	Pediatrics Physician	$0	$8.5M
Refocus Eye Health Of Central Connecticut, P.C.	CT	Ophthalmology Physician	$0	$8.2M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$4.7M
Connecticut Neurodevelopmental Services	CT	Neurology with Special Qualifications in Child Neurology Physician	$0	$4M
Easter Seal Rehabilitation Center	CT	Rehabilitation Clinic/Center	$0	$3.9M
Bidarkote Somanath	CT	Pediatrics Physician	$0	$3.6M

General Hearing — Billing Profile & Reimbursement Data

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General Hearing — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References