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NPI 1841362795 · Hartford, CT · Adolescent and Children Mental Health Clinic/Center
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The Village For Families & Children, Inc. is a adolescent and children mental health clinic/center provider located in Hartford, Connecticut. This profile covers 0 Medicare and 28 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | The Village For Families & Children, Inc. |
| Address | 1680 Albany Avenue |
| City | Hartford |
| State | CT |
| ZIP | 06105 |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| NPI Enumerated | November 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $39.5M |
| Medicare | $0 |
THE VILLAGE FOR FAMILIES & CHILDREN, INC. operates as a high-volume adolescent and children mental health clinic: its top Medicaid revenue drivers are psychotherapy and intensive behavioral services — 90837 ($12.2M, 104.4K claims, $117 avg paid/claim, 30.9% of Medicaid revenue), H2019 ($8.9M, 42.6K claims, $208 avg paid/claim, 22.4% of Medicaid revenue), and H2012 ($3.8M, 51.3K claims, $74 avg paid/claim, 9.6% of Medicaid revenue). The code mix emphasizes long individual psychotherapy sessions, per‑15‑minute therapeutic behavioral services, and hourly behavioral health day treatment, which together imply an operational model focused on intensive outpatient behavioral health for youth.
Revenue concentration is high: the top three Medicaid codes account for 63.0% of the provider’s total Medicaid revenue, while total Medicaid revenue is reported at $39.5M. This degree of concentration indicates financial dependence on a few core service lines (individual psychotherapy, therapeutic behavioral services, and day treatment) rather than a broad, even distribution across many low‑revenue codes.
Payer mix is effectively single‑payer Medicaid: there is no Medicare billing on file while Medicaid revenue totals $39.5M. Analysts should treat this entity as Medicaid‑driven when assessing reimbursement risk, utilization patterns, and network value, since Medicare activity does not appear in the claims data.
The provider is a dominant statewide player on several high‑value codes: 90837 ranks #2 of 2175 providers in Connecticut and is labeled an "extreme outlier" (104.4K claims, $12.2M revenue), and H2012 ranks #1 of 14 providers in-state and is described as "notably above typical state volume" (51.3K claims, $3.8M revenue). Those ranks and labels indicate market leadership for long psychotherapy sessions and structured day treatment in Connecticut.
Beyond the top three, the provider shows strong capacity across diagnostic and family therapy services: 90791 (psychiatric evaluation) generated $1.8M over 15.6K claims and ranks #5 of 559 providers in-state as an "extreme outlier," while family therapy codes 90847 and 90846 produced $1.5M and $606.9K respectively and rank in the 96th–99th percentiles. This breadth — high volumes of evaluations and both family‑present and family‑only therapy — suggests comprehensive assessment and multi‑modal therapeutic services are core capabilities.
Case management and outpatient E/M services are meaningful secondary revenue streams: T1017 (targeted case management) produced $2.3M over 18.4K claims (5.9% of Medicaid revenue, rank #5 of 22, described as "typical, unremarkable volume") and T1016 (case management) is an "extreme outlier" in the state (18.7K claims, $391.9K). Routine outpatient visits (99214) also contribute $2.3M over 22.4K claims, indicating integrated clinical documentation and primary behavioral health follow‑up capacity.
Operational scale is evidenced by very large claim counts across multiple codes: 104.4K claims for 90837, 51.3K for H2012, 42.6K for H2019, and 22.4K for 99214. Combined with $39.5M in Medicaid revenue, these volumes point to substantial throughput in outpatient pediatric/adolescent behavioral health and an infrastructure able to support high‑frequency, time‑based reimbursement models.
The provider has a long tenure in the market, with its NPI enumerated on 2006-11-15 (~20 years ago), which aligns with its demonstrated high statewide rankings and deep service mix. Longevity plus the code‑level dominance documented above suggests established referral relationships and operational continuity within Connecticut’s Medicaid behavioral health ecosystem.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
28 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 104,400 | $120 | $12.2M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 42,600 | $210 | $8.9M |
| H2012 | Behavioral health day treatment, per hour | 51,290 | $70 | $3.8M |
| T1017 | Targeted case management, each 15 minutes | 18,370 | $130 | $2.3M |
| 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… | 22,400 | $100 | $2.3M |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 15,610 | $120 | $1.8M |
| 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… | 15,570 | $100 | $1.5M |
| 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… | 18,070 | $80 | $1.4M |
| 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… | 19,650 | $60 | $1.2M |
| 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… | 14,960 | $70 | $987.6K |
Showing 1–10 of 28
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
28 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 4 | 20 | 10,120 | $220 | $4.8M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 34 | 70 | 3,710 | $120 | $1.6M |
| S9480 | Intensive outpatient psychiatric services, per diem | 38 | 60 | 5,640 | $110 | $1.3M |
| H2012 | Behavioral health day treatment, per hour | 1 | 10 | 10,180 | $70 | $1.1M |
| T1017 | Targeted case management, each 15 minutes | 5 | 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… | 79 | 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… | 139 | 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… | 7 | 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… | 2 | 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… | 43 | 420 | 1,230 | $20 | $199.3K |
Showing 1–10 of 28
Other providers in the same ZIP code as The Village For Families & Children, Inc., ranked by combined Medicare and Medicaid revenue.
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