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.

Utopia Assisted Living Services (NPI 1912056805)

Field	Value
Entity Type	Organization
Organization	Utopia Assisted Living Services
Address	444 Foxon Rd
City	East Haven
State	CT
ZIP	06513
Taxonomy	Assisted Living Facility
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
1437Z	N/A	29,300	$50	$1.4M
1431Z	N/A	37,560	$30	$1.1M
1436Z	N/A	27,940	$30	$810.2K
1439Z	N/A	79,930	$10	$719.4K
1438Z	N/A	12,670	$50	$620.7K
1432Z	N/A	6,830	$40	$293.7K
1434Z	N/A	59,590	$1	$178.8K
1223Z	N/A	2,340	$40	$89.1K

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

Utopia Assisted Living Services — 6 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
1431Z	N/A	1	10	19,360	$40	$753.3K
1438Z	N/A	1	10	6,670	$110	$729.8K
1432Z	N/A	1	10	1,180	$240	$636.3K
1437Z	N/A	1	10	200	$60	$474.4K
1439Z	N/A	1	10	17,070	$10	$380.7K
1436Z	N/A	1	10	230	$40	$372.3K
1434Z	N/A	2	10	59,590	$10	$221.8K
1223Z	N/A	4	20	450	$30	$45.7K

Nearby Providers

Other providers in the same ZIP code as Utopia Assisted Living Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Of Connecticut Incorporated	CT	Ambulance	$13.2M	$129.5M
Fair Haven Community Health Clinic Inc	CT	Federally Qualified Health Center (FQHC)	$0	$83.7M
Utopia Home Care Inc	CT	Home Health Agency	$0	$81.4M
Docs Medical Inc	CT	Family Medicine Physician	$0	$33.5M
Fair Haven Community Health Clinic, Inc	CT	Federally Qualified Health Center (FQHC)	$0	$3.1M
New Haven Family Dental Group LLC	CT	Dentist	$0	$2M
Dr. Dental Of East Haven, PC	CT	General Practice Dentistry	$0	$1.8M
Catholic Charities, Inc. - Archdiocese Of Hartford	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.6M
The Mary Wade Home, Incorporated	CT	Skilled Nursing Facility	$0	$1.5M
Holistic Health & Healing Center LLC	CT	Clinical Social Worker	$0	$1.4M

Utopia Assisted Living Services — Billing Profile & Reimbursement Data

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Utopia Assisted Living Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References