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.

Connecticut Institute For Communities Inc (NPI 1780918045)

Field	Value
Entity Type	Organization
Organization	Connecticut Institute For Communities Inc
Address	120 Main St Fl 4
City	Danbury
State	CT
ZIP	06810
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 18, 2009

Payer Source	Total Paid
Medicaid	$32.8M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused FQHC: it has no Medicare billing on file and reports $32.8M in lifetime Medicaid revenue, with its NPI enumerated on 2009-09-18 (~17 years ago), indicating a long-established presence in the market. The absence of Medicare billing makes its financial footprint highly concentrated in the Medicaid program and suggests its contractual relationships and patient mix are primarily Medicaid-driven.

Revenue for this provider is extremely concentrated in a single encounter code: the top three Medicaid codes account for 99.6% of the provider's total Medicaid revenue, and T1015 alone represents $32.3M (98.4% of Medicaid revenue). That concentration means the provider’s financial performance is tightly coupled to the reimbursement policy and utilization of the all-inclusive clinic visit/encounter payment.

The code mix aligns with a bundled, primary-care–centric FQHC model: T1015 (Clinic visit/encounter, all-inclusive) dominates revenue, while other service lines such as chronic care management (G0511) and FQHC face-to-face visit coding (G0467) contribute small, secondary revenue streams ($262.2K and $119.9K respectively). This pattern is consistent with an organization that bills per-encounter comprehensive payments rather than itemized fee-for-service reimbursement for many routine services.

Despite T1015 driving almost all revenue, the provider is not a statewide volume leader on that code: it ranks #14 of 73 providers in-state (82th percentile; typical, unremarkable volume for this code). In other words, the practice generates most of its revenue from a standard-volume FQHC encounter rate rather than from unusually high encounter volumes relative to peers.

Uptake of care-management and FQHC-specific supplemental codes is modest: G0511 shows $262.2K in revenue (6K claims) and ranks #10 of 17 providers in-state (44th percentile), while G0467 shows $119.9K (13.3K claims) and ranks #10 of 33 providers in-state (72th percentile). These placements suggest limited but present use of chronic care management and FQHC-specific visit coding relative to other in-state FQHCs.

There is a pattern of very high claim counts on many common E/M, preventive, vaccine, and lab codes that report $0 or near-zero average paid per claim (for example 99213: 82.8K claims, 99214: 48.4K claims, 90460: 28.9K claims, 90686: 18.7K claims, 83036: 6.6K claims). This is consistent with those services being captured within an all-inclusive encounter payment (T1015) in Medicaid billing, leading to high procedural volume on paper but minimal standalone revenue reported for those individual codes.

Several procedural and preventive codes appear as statistical high outliers in state volume even though they contribute little standalone revenue, which highlights operational emphasis on certain workflows: 36416 ranks #3 of 149 providers (99th percentile; notably above typical state volume), 85018 ranks #10 of 204 (96th percentile; notably above typical state volume), 90471 ranks #14 of 297 (96th percentile; notably above typical state volume), and 99214 ranks #35 of 1589 (98th percentile; notably above typical state volume). These rank/percentile placements indicate unusually high throughput for specimen collection, hemoglobin testing, vaccination administration, and higher‑level E/M encounters relative to peers despite bundled reimbursement.

Taken together, the profile describes a long-tenured, Medicaid-dependent FQHC whose financial results hinge on the all-inclusive clinic encounter (T1015) with routine preventive, pediatric, lab, and vaccination activity processed at high volume but largely subsumed under bundled payments; strategic or policy shifts to how T1015 is reimbursed or audited would therefore disproportionately affect this provider’s revenue stream.

Medicaid: Complete Services Breakdown

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

96 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	229,230	$140	$32.3M
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	5,960	$40	$262.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	13,320	$10	$119.9K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1,830	$60	$108K
36416	In this procedure, the provider pricks the patient’s finger, heel, or ear with a pointed instrument and collects specimen of droplets of blood by pressing the pricking site.	25,020	$1	$25K
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	6,170	$1	$6.2K
0011A	N/A	400	$0	$0
0012A	N/A	110	$0	$0
0241U	N/A	190	$0	$0
3008F	No Summary found for this code	8,150	$0	$0

Showing 1–10 of 96

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

Connecticut Institute For Communities Inc — 1 of 6 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

96 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	14	70	830	$150	$24M
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	10	20	6,040	$40	$952.7K
0241U	N/A	31	40	1,300	$110	$523.5K
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…	35	1,590	740	$50	$331.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	16	30	2,590	$60	$278.5K
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…	32	1,710	750	$30	$243.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	90	150	290	$80	$206.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	11	170	850	$80	$203.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,159	2,180	850	$90	$202.1K
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…	418	570	410	$50	$197.6K

Showing 1–10 of 96

Related Providers

Other providers that share a Tax Identification Number (TIN) with Connecticut Institute For Communities Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Institute For Communities Inc	CT	Federally Qualified Health Center (FQHC)	$0	$14.9M
Daniel Wollman	CT	Geriatric Medicine (Internal Medicine) Physician	$179.5K	$0
Holly Cortella	FL	Addiction (Substance Use Disorder) Psychologist	$100.6K	$45.5K
David Tager	MA	Internal Medicine Physician	$25K	$9.9K
Prajay Rathore	CT	Internal Medicine Physician	$33K	$150
Sandra Mini	CT	Internal Medicine Physician	$25.1K	$0
Linton Kinlock	CT	Psychiatric/Mental Health Nurse Practitioner	$3.9K	$0
Mishal Khan	GA	Obstetrics & Gynecology Physician	$2.1K	$0

Nearby Providers

Other providers in the same ZIP code as Connecticut Institute For Communities Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danbury Hospital	CT	General Acute Care Hospital	$0	$123.8M
Family And Children's Aid, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$64M
Midwestern Connecticut Council On Alcoholism, Inc	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.9M
Nuvance Health Medical Practice Ct, Inc.	CT	Internal Medicine Physician	$0	$20.2M
Connecticut Counseling Centers, Inc.	CT	Methadone Clinic	$243.5K	$12.1M
Center For Pediatric Medicine	CT	Pediatrics Physician	$0	$9.4M
Optimum Medical LLC	CT	Pediatrics Physician	$0	$8.9M
Kids Dental Specialists LLC	CT	Pediatric Dentistry	$0	$7.8M
Danbury Public Schools	CT	Local Education Agency (LEA)	$0	$7.3M
Childcare Associates	CT	Pediatrics Physician	$0	$6.8M

Connecticut Institute For Communities Inc — Billing Profile & Reimbursement Data

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Connecticut Institute For Communities Inc — 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