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.

Wellmore, Inc. (NPI 1841379013)

Field	Value
Entity Type	Organization
Organization	Wellmore, Inc.
Address	141 E Main St
City	Waterbury
State	CT
ZIP	06702
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	November 6, 2006

Payer Source	Total Paid
Medicaid	$21.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	55,970	$240	$13.2M
T1017	Targeted case management, each 15 minutes	25,640	$110	$2.8M
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…	14,810	$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…	14,120	$80	$1.1M
S9485	Crisis intervention mental health services, per diem	6,620	$160	$1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,000	$110	$456.3K
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…	4,040	$110	$436.6K
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…	5,670	$70	$402.8K
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…	3,330	$60	$206.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	820	$140	$115.2K

Showing 1–10 of 19

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

Wellmore, Inc. — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	3	20	10,120	$220	$4.8M
T1017	Targeted case management, each 15 minutes	3	20	4,860	$100	$965.6K
S9485	Crisis intervention mental health services, per diem	2	10	4,210	$160	$619.2K
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…	337	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…	304	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…	9	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…	1,526	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…	137	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…	45	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…	296	300	2,660	$20	$181.1K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellmore, Inc	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.1M
Wellmore, Inc	CT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.2M
Shirley Bradley	CT	Clinical Social Worker	$119.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Staywell Health Care, Inc.	CT	Family Medicine Physician	$0	$76.8M
City Of Waterbury Board Of Education	CT	Local Education Agency (LEA)	$0	$14.3M
Connecticut Renaissance, Inc.	CT	Substance Abuse Rehabilitation Facility	$0	$7.6M
Connecticut Junior Republic Association, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$7.1M
Connecticut Renaissance, Inc	CT	Substance Abuse Rehabilitation Facility	$0	$5.5M
St. Francis Medical Equipment & Surgical Supply	CT	Durable Medical Equipment & Medical Supplies	$0	$4.1M
Waterbury Eye Associates LLC	CT	Optometrist	$0	$3.6M
Waterbury Family Dental P.C.	CT	Dentist	$0	$2.5M
State Of Connecticut	CT	Adult Mental Health Clinic/Center	$0	$2.3M
Catholic Charities Inc - Archdiocese Of Hartford	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M

Wellmore, Inc. — Billing Profile & Reimbursement Data

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Wellmore, 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