Loading...
NPI 1902921380 · New Haven, CT · Federally Qualified Health Center (FQHC)
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Cornell Scott Hill Health Corporation is a federally qualified health center (fqhc) provider located in New Haven, Connecticut. This profile covers 1 Medicare and 203 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 | Cornell Scott Hill Health Corporation |
| Address | 400-428 Columbus Avenue |
| City | New Haven |
| State | CT |
| ZIP | 06519 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | March 21, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $294.2M |
| Medicare | $338.5K |
Medicaid overwhelmingly dominates this provider’s payer mix: reported Medicaid revenue is $294.2M versus total Medicare revenue of $338.5K, so the organization functions effectively as a Medicaid-focused provider with only a nominal Medicare footprint. This scale difference implies operational priorities and resourcing are likely directed toward Medicaid populations and program requirements rather than Medicare business lines.
Medicare billing is highly concentrated: the top three Medicare codes account for 100.0% of Medicare revenue and the single listed code G2067 generates $338.4K (100.0% of Medicare revenue). G2067 is the medication assisted treatment weekly bundle for opioid treatment programs, which indicates the provider’s Medicare activity is almost exclusively tied to opioid treatment program services and associated bundles; the code ranks #148 of 830 providers nationally and is described as a typical, unremarkable volume for this code.
Medicaid revenue is also heavily concentrated in a very small number of codes: the top three Medicaid codes account for 95.6% of Medicaid revenue, led by T1015 which produces $270.5M and represents 91.8% of the provider’s Medicaid revenue. That dominance of T1015 (Clinic visit/encounter, all-inclusive) signals that this FQHC bills at scale under an all-inclusive clinic visit model and that routine bundled clinic encounters are the primary revenue engine for Medicaid.
Clinical and service-line mix points to strong behavioral health and substance use treatment capability: high-volume Medicaid codes include H0011 (acute detoxification) with $7.5M and H0020 (methadone administration) with $256.5K, coupled with very large counts and revenues for psychotherapy codes 90832 ($3.1M) and 90834 ($722.3K). These codes, together with the dominant G2067 activity on Medicare, paint a consistent picture of integrated substance use disorder and mental health services as core offerings.
The organization operates as an FQHC billing center of gravity: multiple FQHC-specific codes are prominent in the Medicaid mix — G0511 ($3.8M, 70.1K claims), G0467 ($506.4K, 50.6K claims) and G0470 ($1.0M, 29.5K claims) — which reflects chronic care management/behavioral health integration and bundled FQHC visit billing patterns. The presence and scale of these codes are consistent with the provider’s taxonomy as a Federally Qualified Health Center and indicate reliance on FQHC reimbursement structures.
Competitive standing within Connecticut is dominant for core Medicaid services: T1015 ranks #2 of 73 providers in-state and is labeled an extreme outlier, far above typical state volume, and several other codes (99213, 90832, G0470, 99442, 99443, 96127) appear at or near the 100th percentile in-state. Those rankings identify the provider as a major statewide player for primary care, behavioral health, and telehealth/remote service volume rather than a modest local participant.
Telehealth and remote-contact codes show significant utilization, supporting a hybrid care model: G2025 ($592.4K, 10.2K claims) and virtual/remote codes such as 99442 ($518.8K, 57.6K claims), G0071 ($71K), and G2012 ($43.8K) are present at notable volumes and high state ranks. This mix suggests the FQHC has operationalized telehealth and remote evaluation services at scale for its Medicaid population, supplementing in-person clinic bundles.
Long tenure in the community: the NPI was enumerated on 2007-03-21 (~19 years ago), indicating a long-established organization likely with matured billing workflows and embedded relationships with state Medicaid programs. That longevity, combined with the concentrated Medicaid revenue mix, supports the interpretation of a sustained, large-scale FQHC operation focused on clinic-based, behavioral health, and substance use services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1,420 | $240 | $338.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G2067 | 4 | 10 | 860 | $240 | $401.2K |
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.
203 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 1,744,990 | $160 | $270.5M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 16,670 | $450 | $7.5M |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral… | 70,120 | $50 | $3.8M |
| 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… | 392,980 | $10 | $3.1M |
| 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… | 343,110 | $10 | $3.1M |
| 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… | 176,690 | $10 | $1.6M |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc… | 29,550 | $40 | $1M |
| 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… | 72,230 | $10 | $722.3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 10,210 | $60 | $592.4K |
| 99442 | N/A | 57,650 | $10 | $518.8K |
Showing 1–10 of 203
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
203 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2 | 70 | 830 | $150 | $24M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 19 | 30 | 668,110 | $10 | $15.3M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 3 | 10 | 15,610 | $490 | $6.9M |
| H2013 | Psychiatric health facility service, per diem | 3 | 10 | 4,060 | $140 | $2.3M |
| 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… | 12 | 70 | 3,710 | $120 | $1.6M |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral… | 3 | 20 | 6,040 | $40 | $952.7K |
| 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… | 10 | 1,590 | 740 | $50 | $331.8K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 4 | 30 | 2,590 | $60 | $278.5K |
| 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… | 2 | 1,710 | 750 | $30 | $243.3K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 28 | 30 | 1,490 | $60 | $213.6K |
Showing 1–10 of 203
Other providers in the same ZIP code as Cornell Scott Hill Health Corporation, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.