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.

Family And Children's Aid, Inc. (NPI 1821059486)

Key Findings

Field	Value
Entity Type	Organization
Organization	Family And Children's Aid, Inc.
Address	80 West St
City	Danbury
State	CT
ZIP	06810
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicaid	$64M
Medicare	$0

This provider is effectively single‑payer in the claims record: no Medicare billing is on file and all reported lifetime revenue is Medicaid‑based, totaling $64M. The absence of Medicare activity combined with substantive Medicaid revenue indicates the organization’s business is concentrated in publicly financed behavioral health services for children and adolescents.

Revenue is highly concentrated in a very small set of procedure codes: the top three Medicaid codes (H2019, 90834, 90837) account for 84.0% of this provider’s total Medicaid revenue. Specifically, H2019 shows $38.7M (60.4%), 90834 accounts for $12.5M (19.5%), and 90837 contributes $2.6M (4.1%), demonstrating that a few service lines drive the vast majority of receipts.

H2019 (Therapeutic behavioral services, per 15 minutes) is the single dominant service line: 128K claims, $302 avg paid/claim, $38.7M revenue (60.4% of Medicaid revenue), and it ranks #1 of 24 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). This profile suggests the organization operates a high-volume, short‑unit therapeutic behavioral program (frequent 15‑minute contacts), consistent with intensive behavioral support models for youth.

Psychotherapy and family therapy are significant secondary pillars of operations. 90834 shows 151.9K claims, $82 avg paid/claim, $12.5M revenue (19.5% of Medicaid revenue) and ranks #2 of 571 in-state (100th percentile; extreme outlier), while family therapy codes 90847 (24.2K claims, $2.4M, 3.7%) and 90846 (13.1K claims, $1.3M, 2.0%) also rank at the top of state providers (90847 #2 of 150, 90846 #1 of 68; both 99–100th percentiles and described as extreme outliers). Together these figures indicate a heavy operational emphasis on both individual and family psychotherapy alongside the behavioral services program.

Case management volume is also unusually large relative to peers: T1016 (Case management, each 15 minutes) shows 30.6K claims, $20 avg paid/claim, $611.5K revenue (1.0% of Medicaid revenue) and ranks #1 of 47 providers in-state (100th percentile; extreme outlier). This suggests integrated care coordination is a material part of the service model, even if it contributes a smaller share of total revenue than H2019 and psychotherapy.

Several other codes show above‑typical or notable presence but do not drive revenue concentration: 90791 (psychiatric evaluation) records 7.4K claims, $121 avg paid/claim, $896.2K revenue (1.4%) and ranks #22 of 559 (96th percentile; notably above typical state volume). Common E/M codes such as 99214 and 99213 appear at typical state volumes (99214: 11.8K claims, $1.2M, 1.9% and 91st percentile; 99213: 11.9K claims, $820.8K, 1.3% and 90th percentile), indicating ancillary medical evaluation services are present but not central to revenue.

Competitive standing is concentrated and service‑specific: the provider is a dominant statewide player for H2019 and T1016 (both #1 ranks, 100th percentile, extreme outliers) and a major statewide provider for 90834 (rank #2 of 571, 100th percentile). For other common outpatient codes the provider’s ranks fall into high but more typical percentiles, indicating the organization’s market strength is driven primarily by a few specialized behavioral health service lines rather than broad outpatient medical volume.

The NPI tenure shows a long operational history: NPI enumerated 2006-03-31 (~20 years ago). Combined with the concentrated Medicaid footprint, this long tenure suggests an established relationship with state Medicaid programs and a sustained operational focus on adolescent and children’s behavioral health services rather than expansion into Medicare or broader commercial medical lines.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	128,020	$300	$38.7M
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…	151,930	$80	$12.5M
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…	21,860	$120	$2.6M
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…	24,170	$100	$2.4M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	13,120	$100	$1.3M
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…	11,850	$110	$1.2M
H2012	Behavioral health day treatment, per hour	13,020	$70	$963.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,410	$120	$896.2K
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…	11,900	$70	$820.8K
90832	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…	11,640	$60	$721.7K

Showing 1–10 of 25

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

Family And Children's Aid, Inc. — 10 of 23 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	1	20	10,120	$220	$4.8M
H2012	Behavioral health day treatment, per hour	7	10	10,180	$70	$1.1M
T1017	Targeted case management, each 15 minutes	15	20	4,860	$100	$965.6K
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…	138	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…	164	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…	2	150	290	$80	$206.3K
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…	18	2,180	850	$90	$202.1K
90832	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…	69	420	1,230	$20	$199.3K
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…	2	570	410	$50	$197.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	138	300	2,660	$20	$181.1K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danbury Hospital	CT	General Acute Care Hospital	$0	$123.8M
Midwestern Connecticut Council On Alcoholism, Inc	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.9M
Connecticut Institute For Communities Inc	CT	Federally Qualified Health Center (FQHC)	$0	$32.8M
Nuvance Health Medical Practice Ct, Inc.	CT	Internal Medicine Physician	$0	$20.2M
Connecticut Institute For Communities Inc	CT	Federally Qualified Health Center (FQHC)	$0	$14.9M
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

Family And Children's Aid, Inc. — Billing Profile & Reimbursement Data

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Family And Children's Aid, 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

Nearby Providers

Frequently Asked Questions

References