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.

Pinnacle Behavioral Health, PC (NPI 1932678919)

Field	Value
Entity Type	Organization
Organization	Pinnacle Behavioral Health, PC
Address	345 N Main St Ste 317
City	West Hartford
State	CT
ZIP	06117
Taxonomy	Child & Adolescent Psychiatry Physician
NPI Enumerated	November 19, 2018

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9480	Intensive outpatient psychiatric services, per diem	8,430	$140	$1.2M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	140	$130	$18.6K

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

Pinnacle Behavioral Health, PC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9480	Intensive outpatient psychiatric services, per diem	21	60	5,640	$110	$1.3M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	101	210	130	$80	$49.1K

Nearby Providers

Other providers in the same ZIP code as Pinnacle Behavioral Health, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hebrew Community Services, Inc	CT	Assisted Living Facility	$0	$1.6M
Trimble Vision Services, LLC	CT	Optometrist	$0	$1.3M
Walgreen Co	CT	Pharmacy	$154.3K	$1K
Divya Waghray	CT	Physical Therapist	$91.6K	$0
Thomas Knox	CT	Cardiovascular Disease Physician	$84.3K	$0
Michelle Haudegand-gough	CT	Occupational Therapist	$29.9K	$0
Samuel Werner	CT	Family Medicine Physician	$16.7K	$0
Gayle Harris	CT	Obstetrics & Gynecology Physician	$14.2K	$0

Pinnacle Behavioral Health, PC — Billing Profile & Reimbursement Data

Sign up for Pinnacle Behavioral Health, PC — Billing Profile & Reimbursement Data policy alerts

Pinnacle Behavioral Health, PC — Billing Profile & Reimbursement Data

Sign up for Pinnacle Behavioral Health, PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References