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.

Heartcare Associates Of Connecticut, LLC (NPI 1871522169)

Heartcare Associates Of Connecticut, LLC is a cardiovascular disease physician provider located in Hamden, Connecticut. This profile covers 0 Medicare and 45 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	Heartcare Associates Of Connecticut, LLC
Address	2200 Whitney Ave
City	Hamden
State	CT
ZIP	06518
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	21,710	$40	$760K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	8,520	$60	$502.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	3,680	$90	$330.8K
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…	11,550	$30	$323.4K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	4,120	$70	$276.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	27,300	$10	$136.5K
J2785	Injection, regadenoson, 0.1 mg	1,700	$60	$98.5K
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…	4,360	$20	$95.9K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	3,550	$30	$92.4K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	2,480	$30	$76.8K

Showing 1–10 of 45

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

Heartcare Associates Of Connecticut, LLC — 6 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	16	100	1,120	$120	$564.2K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	5	60	560	$380	$437.2K
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…	83	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…	172	1,710	750	$30	$243.3K
93351	In this procedure, the provider performs continuous transthoracic echocardiography both at rest and after exercise and reviews images evaluating and assessing global and ventricular performance and…	6	10	640	$330	$187.4K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	48	70	320	$110	$129K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	69	70	1,460	$50	$121.2K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	26	70	470	$70	$111.7K
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…	122	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…	27	380	220	$70	$99.8K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marian Vulpe	CT	Cardiovascular Disease Physician	$446K	$0
Ricardo Cordido	CT	Cardiovascular Disease Physician	$191.4K	$0
Vasant Khachane	CT	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$98.2K	$0
Jennifer Rivers	CT	Nurse Practitioner	$43.6K	$37.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patient Care Hha, LLC	CT	Home Health Agency	$0	$14.6M
Home Health Professionals Network	CT	Home Health Agency	$0	$9.8M
New England Retina Associates, P.C	CT	Retina Specialist (Ophthalmology) Physician	$0	$4.4M
The Center For Pediatric And Family Growth	CT	Behavior Analyst	$0	$3.4M
Children's Medical Group, LLC	CT	Pediatrics Physician	$0	$2.6M
Hamden Sleep Disorders Center LLC	CT	Sleep Medicine (Internal Medicine) Physician	$177K	$2.3M
David Tom	CT	Ophthalmology Physician	$2.5M	$0
Drs Chen And Seignemartin LLC	CT	Pediatric Dentistry	$0	$2.1M
Hamden Medical Group, LLC	CT	Family Medicine Physician	$0	$1.5M
Gregory Haffner	CT	Ophthalmology Physician	$1.4M	$0

Heartcare Associates Of Connecticut, 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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