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.

Milford Hospital, Inc (NPI 1912966557)

Milford Hospital, Inc is a general acute care hospital provider located in Milford, Connecticut. This profile covers 0 Medicare and 138 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	Milford Hospital, Inc
Address	300 Seaside Ave
City	Milford
State	CT
ZIP	06460
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

138 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	4,960	$180	$873.3K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	2,700	$270	$725.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	5,170	$120	$599.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	1,840	$150	$275.3K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1,110	$90	$100.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	430	$200	$83.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	1,620	$50	$82.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	720	$100	$73.5K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	190	$360	$68.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	330	$160	$52K

Showing 1–10 of 138

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

Milford Hospital, Inc — 0 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

138 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	32	40	21,520	$90	$8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	76	130	520	$330	$5.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	56	130	690	$180	$4.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	31	40	23,540	$140	$3.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	53	110	1,520	$140	$3.4M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	31	30	17,770	$50	$1.1M
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	31	30	7,070	$130	$1.1M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	38	40	5,360	$120	$1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	55	70	4,950	$110	$980.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	23	60	3,070	$100	$907.8K

Showing 1–10 of 138

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Antonio Paz	CT	Anesthesiology Physician	$543K	$0
Jody Gerard	CT	Family Medicine Physician	$378.2K	$0
Bharat Patel	NJ	Diagnostic Radiology Physician	$169.5K	$0
Iulian Giuran-benetato	CT	Internal Medicine Physician	$98.8K	$0
Cheryl Frydman	NY	Anatomic Pathology & Clinical Pathology Physician	$87K	$0
Andrew Chow	NC	Internal Medicine Physician	$85.8K	$0
Augustine Andoh-duku	CT	Pulmonary Disease Physician	$66.6K	$0
Clifford Kramer	CT	Cardiovascular Disease Physician	$58.1K	$0
Gerald Valletta	CT	Internal Medicine Physician	$56.5K	$0
Anitha Rao	CT	Anatomic Pathology & Clinical Pathology Physician	$53.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridges Healthcare Inc.	CT	Adult Mental Health Clinic/Center	$0	$18.8M
Totality Home Health Care Agency, LLC	CT	Home Health Agency	$0	$18.4M
Bridgeport Hospital	CT	General Acute Care Hospital	$0	$15.6M
Milford Pediatric Group, PC	CT	Specialist	$0	$10.4M
Atlantic Diagnostic Laboratories, LLC	CT	Clinical Medical Laboratory	$18.4K	$6.2M
Dlv LLC	CT	Pediatric Dentistry	$0	$3.2M
Fairfield Pediatric Dentistry	CT	Pediatric Dentistry	$0	$3.2M
Genesis Medica LLC	CT	Internal Medicine Physician	$0	$3M
Milford Board Of Education	CT	Local Education Agency (LEA)	$0	$2.8M
Southern Connecticut Behavioral Health LLC	CT	Clinical Social Worker	$0	$2.2M

Milford Hospital, 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

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