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.

Ralph Laguardia (NPI 1902805781)

Field	Value
Entity Type	Individual
Organization	Ralph Laguardia
Address	10 Higgins Hwy
City	Mansfield Center
State	CT
ZIP	06250
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 14, 2005

Payer Source	Total Paid
Medicare	$105.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 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…	510	$100	$49.1K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	170	$130	$20.9K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	70	$150	$10.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	70	$80	$5.8K
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…	80	$70	$5.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	520	$10	$4.2K
99442	N/A	40	$60	$2.1K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	80	$20	$1.7K
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,…	30	$40	$1.5K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	20	$70	$1.4K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Ralph Laguardia — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	428	550	260	$80	$31.3K
99214	355	6,480	90	$90	$14.2K
99310	72	280	80	$110	$12.7K
99306	92	250	50	$140	$12.7K
99213	2,972	6,440	70	$60	$8.1K
99442	87	340	20	$60	$2.4K
99315	23	40	30	$60	$2.3K
99212	523	1,340	30	$40	$2.2K
36415	22	570	60	$10	$1.7K
94010	30	130	40	$20	$1.4K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Natchaug Hospital, Inc.	CT	Psychiatric Hospital	$0	$35.8M
Lucille Wu-scigliano	CT	Pediatric Dentistry	$0	$2.4M
Mansfield Mental Health And Addiction Medicine	CT	Psychiatry Physician	$0	$1.1M
Kristen Wilmot	CT	Medical Physician Assistant	$28.6K	$0

Ralph Laguardia — Billing Profile & Reimbursement Data

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Ralph Laguardia — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References