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.

Apt Foundation, Inc (NPI 1801950951)

Field	Value
Entity Type	Organization
Organization	Apt Foundation, Inc
Address	1 Long Wharf Dr
City	New Haven
State	CT
ZIP	06511
Taxonomy	Clinic/Center
NPI Enumerated	December 21, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 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…	17,830	$50	$802.1K
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…	3,520	$60	$225.5K
99442	N/A	2,340	$40	$103K
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,…	2,870	$30	$83.3K
99443	N/A	470	$70	$32.2K
99385	The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.	250	$80	$20.7K
99386	The provider performs a well–patient visit for a patient who is between the ages of 40 and 64.	140	$110	$14.5K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	1,050	$10	$12.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	400	$20	$6.4K
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…	50	$100	$5.1K

Showing 1–10 of 18

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

Apt Foundation, Inc — 0 of 14 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	372	1,590	740	$50	$331.8K
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…	122	1,710	750	$30	$243.3K
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…	328	480	150	$90	$100.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	276	380	220	$70	$99.8K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	120	140	150	$60	$38.6K
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,…	70	580	230	$20	$32.8K
99442	N/A	26	220	170	$10	$25.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	64	170	180	$10	$25.3K
99443	N/A	47	150	120	$30	$25K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	195	300	250	$10	$15.2K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apt Foundation, Inc	CT	Methadone Clinic	$0	$36.6M
Apt Foundation, Inc	CT	Methadone Clinic	$0	$28.6M
Apt Foundation Inc.	CT	Methadone Clinic	$0	$21.6M
Apt Foundation Inc	CT	Methadone Clinic	$1.2M	$11.6M
Apt Foundation, Inc	CT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.3M
Apt Foundation, Inc	CT	Methadone Clinic	$0	$1.8M
Michael Tawiah	CT	Family Nurse Practitioner	$27.3K	$0

Nearby Providers

Other providers in the same ZIP code as Apt Foundation, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yale University	CT	Anesthesiology Physician	$0	$137.3M
Planned Parenthood Of Southern New England, Inc.	CT	Ambulatory Family Planning Facility	$0	$37.9M
Yale New Haven Health At Home, Inc.	CT	Home Health Agency	$0	$17M
Yale-new Haven Hospital	CT	Pediatric Dentistry	$0	$13.7M
Clifford W. Beers Guidance Clinic Inc	CT	Adolescent and Children Mental Health Clinic/Center	$0	$11.6M
Chemical Abuse Services Agency, Inc.	CT	Community/Behavioral Health Agency	$162.8K	$10.6M
New Era Rehabilitation Center, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.7M
Sanjay Aggarwal	CT	Internal Medicine Physician	$0	$4.5M
Kristi Rossomando	CT	General Practice Dentistry	$0	$4M
Precipio Inc	CT	Clinical Medical Laboratory	$3.3M	$291.5K

Apt Foundation, Inc — Billing Profile & Reimbursement Data

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Apt Foundation, 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