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.

Hartford Hospital (NPI 1770696643)

Field	Value
Entity Type	Organization
Organization	Hartford Hospital
Address	80 Seymour St
City	Hartford
State	CT
ZIP	06102
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicaid	$316.3M
Medicare	$0

Key Findings

HARTFORD HOSPITAL is effectively a single-payer Medicaid provider in the available data set: there is no Medicare billing on file while Medicaid revenue totals $316.3M, indicating the facility’s recorded payer footprint is dominated by Medicaid receipts rather than a mixed Medicare/Medicaid mix. This makes Medicaid the primary lens for evaluating the hospital’s volume and service-lines.

Revenue concentration is high: the precomputed top three Medicaid codes account for 50.6% of the provider’s total Medicaid revenue, signaling that a small set of services—primarily emergency department E/M and high-volume outpatient clinic and therapy codes—drive a majority of dollar volume. This concentration suggests the hospital’s financial performance is sensitive to changes in utilization or reimbursement for those key codes.

Emergency care is a core service line: high-level ED visits 99285 ($55M, 24.9% of Medicaid revenue) and 99284 ($31.1M, 14.1%) together represent nearly 39% of Medicaid revenue and both rank in the top percentiles statewide (98th and 96th). The combination of extremely high claim counts for these ED E/M codes shows the hospital functions as a major emergency care hub in Connecticut with ED throughput and acuity skewed toward moderate-to-high complexity visits.

Outpatient clinic and therapeutic services are also central to operations: G0463 ($25.8M, 11.7%) ranks #2 in-state and 97110 ($21.8M, 9.8%) is a 100th-percentile outlier, indicating very high volumes of outpatient clinic assessments and therapeutic exercise/physical therapy. This mix points to a large ambulatory and rehabilitation footprint in addition to ED services, likely including high-volume clinic scheduling and therapy programs supporting post-acute and musculoskeletal care.

The provider shows multiple state-level outlier positions that underline market dominance in several lines: 97110 is an extreme outlier (100th percentile, rank #2 of 348) and procedural codes such as 66984 (cataract extraction, rank #1 of 39 at 100th percentile) and several surgical/acute procedure codes (e.g., 58661, 19318 at 100th percentile or top ranks) indicate market-leading volumes in both high-frequency therapy and certain surgical specialties. These rank/percentile signals imply HARTFORD HOSPITAL is a major destination for both high-volume outpatient therapy and specific surgical procedures within Connecticut.

The hospital reports substantial utilization of inpatient and infusion/oncology-related services on Medicaid: high-cost drug administration J9271 (pembrolizumab, $8.5M) and chemotherapy infusion codes 96413 and 96365 appear in the top revenue list, showing a meaningful oncology/infusion service line alongside ED and outpatient care. Though these oncology-related codes are smaller shares individually, their presence signals diversified specialty services beyond emergency and therapy care.

Behavioral health and intensive outpatient services register as material components: S9480 (intensive outpatient psychiatric services, $8.7M, rank #2 of 57, labeled an extreme outlier) and H0035 (partial hospitalization) each contribute meaningfully to Medicaid revenue, indicating the hospital maintains significant behavioral health capacity and that psychiatric partial/day programs are an important service-line for Medicaid patients.

Operational tenure supports long-established market presence: the provider’s NPI was enumerated around 2006-08-16 (~20 years ago), so HARTFORD HOSPITAL has had a multiyear operational footprint to build the high-volume ED, outpatient, surgical, and specialty services reflected in the Medicaid code mix. That tenure aligns with the high-state rankings and extreme outlier volumes across multiple codes, consistent with an established regional referral and service hub.

Medicaid: Complete Services Breakdown

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

893 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	105,390	$520	$55M
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.	106,840	$290	$31.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	293,200	$90	$25.8M
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…	403,240	$50	$21.8M
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.	90,360	$200	$18.3M
S9480	Intensive outpatient psychiatric services, per diem	84,830	$100	$8.7M
J9271	Injection, pembrolizumab, 1 mg	1,680	$5,040	$8.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	52,520	$140	$7.4M
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	6,290	$690	$4.3M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	20,020	$160	$3.2M

Showing 1–10 of 893

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

Hartford Hospital — 12 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

893 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	2	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.	4	130	520	$330	$5.9M
J9271	Injection, pembrolizumab, 1 mg	3	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.	6	130	690	$180	$4.7M
J9299	Injection, nivolumab, 1 mg	3	10	400	$3,000	$4.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5	40	23,540	$140	$3.7M
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.	9	110	1,520	$140	$3.4M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	7	10	330	$1,810	$3.3M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	1	10	1,630	$1,860	$3M
Q5107	Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg	2	10	4,000	$710	$2.9M

Showing 1–10 of 893

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hartford Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The William W Backus Hospital	CT	General Acute Care Hospital	$0	$163M
Hartford Healthcare Medical Group Specialists, PLLC	CT	Surgery Physician	$0	$46M
Hartford Hospital	CT	Surgery Physician	$0	$27.5M
Hartford Healthcare Medical Group, Inc	CT	Surgery Physician	$0	$22.4M
The William W Backus Hospital	CT	General Acute Care Hospital	$0	$2.3M
Philip Simkovitz	CT	Critical Care Medicine (Internal Medicine) Physician	$589.2K	$506K
Pouyan Changizzadeh	CT	Hematology & Oncology Physician	$1.1M	$0
Nikia Bray	CT	Family Nurse Practitioner	$58.9K	$557K
Rabindranath Mahabir	CT	Internal Medicine Physician	$166.9K	$299.3K
Shirley Wu	RI	Emergency Medicine Physician	$48.1K	$392.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson Radiology, PC	CT	Diagnostic Radiology Physician	$0	$14M
Hartford Pathology Associates, P.C.	CT	Anatomic Pathology & Clinical Pathology Physician	$0	$4.5M
Anshu Trivedi	CT	Anatomic Pathology Physician	$296.6K	$0
Vinay Gulati	CT	Nuclear Cardiology Physician	$238.9K	$0
Kelsey Burger	CT	Medical Physician Assistant	$153.1K	$0
Robert Dowsett	CT	Radiation Oncology Physician	$150.1K	$0
Susan Kim	CT	Radiation Oncology Physician	$148.4K	$0
Hhc Hartford Surgery Center, LLC	CT	Ambulatory Surgical Clinic/Center	$126.4K	$0
Dana Boe	CT	Diagnostic Radiology Physician	$120K	$0
Mahesh Patel	CT	Internal Medicine Physician	$119.3K	$0

Hartford Hospital — Billing Profile & Reimbursement Data

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Hartford Hospital — Billing Profile & Reimbursement Data

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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