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.

Comprehensive Orthopedics & Musculoskeletal Care LLC (NPI 1790844330)

Comprehensive Orthopedics & Musculoskeletal Care LLC is a orthopaedic surgery physician provider located in Wallingford, Connecticut. This profile covers 0 Medicare and 51 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	Comprehensive Orthopedics & Musculoskeletal Care LLC
Address	863 North Main St Ext
City	Wallingford
State	CT
ZIP	06492
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	26,060	$20	$521.2K
99203	The provider sees a new 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 provider…	5,720	$40	$240.1K
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…	8,770	$20	$201.7K
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…	2,070	$60	$124.1K
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…	12,950	$1	$25.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	890	$20	$15.1K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	570	$20	$13.6K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	1,360	$10	$13.6K
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…	190	$70	$13.5K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	1,060	$10	$11.7K

Showing 1–10 of 51

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

Comprehensive Orthopedics & Musculoskeletal Care LLC — 0 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

51 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	50	350	1,820	$40	$537.3K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	18	50	1,420	$20	$338.6K
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…	185	1,590	740	$50	$331.8K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	31	50	2,660	$50	$256.2K
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…	90	1,710	750	$30	$243.3K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	11	30	70	$350	$221.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	136	170	260	$20	$183.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	37	120	1,140	$10	$178.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	93	100	340	$30	$172.2K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	33	40	2,930	$40	$157.7K

Showing 1–10 of 51

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Mayo	CT	Diagnostic Radiology Physician	$267.4K	$0
Eric Gorny	CT	Diagnostic Radiology Physician	$234.5K	$0
Ryan Charette	CT	Adult Reconstructive Orthopaedic Surgery Physician	$180.3K	$0
Rania Rifaey	CT	Anesthesiology Physician	$154.2K	$0
Aaron Covey	CT	Orthopaedic Surgery Physician	$116.4K	$0
Adam Ferguson	CT	Orthopaedic Surgery Physician	$82.8K	$0
Nathaniel Dueker	CT	Diagnostic Radiology Physician	$75.6K	$0
Hudson Seidel	CT	Orthopaedic Hand Surgery Physician	$44.9K	$0
Robert Stockton	CT	Orthopaedic Surgery of the Spine Physician	$44.3K	$0
Christopher Smith	CT	Physician Assistant	$16.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gaylord Hospital, Inc.	CT	Long Term Care Hospital	$0	$14.6M
Masonicare Home Health And Hospice, Inc.	CT	Home Health Agency	$0	$13M
Robinson PA, LLC	CT	Interventional Pain Medicine Physician	$0	$6.9M
Town Of Wallingford	CT	Local Education Agency (LEA)	$0	$3.9M
Park Avenue Medical	CT	Internal Medicine Physician	$0	$3.4M
Wallingford Endoscopy Center, LLC.	CT	Endoscopy Clinic/Center	$322.7K	$1.8M
Town Of Wallingford	CT	Ambulance	$493.3K	$1.6M
Promptcare New England Respiratory, LLC	CT	Oxygen Equipment & Supplies (DME)	$0	$1.8M
The Promptcare Companies, Inc.	CT	Durable Medical Equipment & Medical Supplies	$0	$1.8M
Meriden Imaging Center, Inc.	CT	Diagnostic Radiology Physician	$0	$1.7M

Comprehensive Orthopedics & Musculoskeletal Care LLC — Billing Profile & Reimbursement Data

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Comprehensive Orthopedics & Musculoskeletal Care LLC — 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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