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.

Svmc Holdings, Inc (NPI 1942224696)

Field	Value
Entity Type	Organization
Organization	Svmc Holdings, Inc
Address	2800 Main St
City	Bridgeport
State	CT
ZIP	06606
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicaid	$131.5M
Medicare	$0

Key Findings

SVMC HOLDINGS, INC has no Medicare billing on file and reports $131.5M in lifetime Medicaid revenue, making its publicly visible commercial/payer footprint effectively single‑payer Medicaid in the available data. Analysts should treat Medicaid as the dominant — and for these records the only — payer driving measurable revenue for this entity.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the top three Medicaid codes (99285, 99284, 99283) together account for 54.7% of the provider's total Medicaid revenue. Individually those codes are reported as $30.2M (27.6%), $16.3M (14.9%), and $13.4M (12.2%) respectively, indicating ED services are the primary revenue engine.

The code mix indicates SVMC operates as an acute care hospital with very high ED throughput and substantial acute-procedural and imaging activity. High volumes of ED E/M codes (99285/99284/99283), combined with frequent imaging (93306, 74177, 70450, 78452) and procedural codes (43239, 45380/45385, 93458), point to a broad hospital-based service line set that includes diagnostics, invasive procedures, and peri-procedural imaging.

SVMC shows a strong competitive standing on several high-revenue items within Connecticut. 99285 ranks #14 of 129 providers in-state (90th percentile) and is described as notably above typical state volume; similarly, 78452 ($2.9M, 2.6%) ranks #4 of 56 (95th percentile) and is noted as notably above typical state volume, supporting the view that SVMC is a regional leader for certain high-acuity cardiac imaging services.

While many of SVMC's procedure and therapy codes fall into typical or unremarkable volume ranges in-state, several service lines are clear outliers that are above typical volumes. S9480 (intensive outpatient psychiatric services) is $4.7M (4.3%) and ranks #4 of 57 (95th percentile) and is called out as notably above typical state volume, and 11042 (debridement) is $1.4M (1.3%) and ranks #5 of 66 (94th percentile), suggesting meaningful behavioral-health and wound-care program capacity beyond core ED work.

Infusion and IV‑therapy codes appear repeatedly across the top-paid services, underscoring frequent outpatient or ED‑based medication and hydration activity. Examples include 96374 ($7.6M, 6.9%) ranking #4 of 37 (92nd percentile), 96365 ($1.5M, 1.4%), 96360 ($1.5M, 1.4%), and drug-injection codes such as J1439 ($1.1M, 1.0%) and J9271 ($1.3M, 1.2%), which together indicate a sizable oncology/supportive infusion and acute IV‑therapy throughput.

SVMC records critical care and emergency intensity beyond basic ED visits: 99291 (critical care) contributes $1.8M (1.6%) and many higher‑level ED codes dominate revenue share, reinforcing the hospital’s role in managing high-acuity presentations. This pattern — elevated high-acuity ED revenue plus measurable critical care billing — aligns with expectations for a general acute care hospital.

The provider has long tenure in the NPI system, enumerated on 2006-07-26 (~20 years ago), which supports interpreting these patterns as the output of an established hospital operation rather than a recently opened or transient clinic. Combined with the Medicaid-only revenue visibility, the data suggest a stable, Medicaid-focused acute care organization with notable centers of strength in high-acuity ED care, certain imaging/procedural services, and outpatient psychiatric and wound-care programs.

Medicaid: Complete Services Breakdown

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

466 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	66,610	$450	$30.2M
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.	53,710	$300	$16.3M
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.	63,620	$210	$13.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	53,680	$140	$7.6M
S9480	Intensive outpatient psychiatric services, per diem	42,600	$110	$4.7M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	12,990	$290	$3.7M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	5,360	$610	$3.2M
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	4,690	$620	$2.9M
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.	12,310	$210	$2.5M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	33,060	$60	$2M

Showing 1–10 of 466

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

Svmc Holdings, 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

466 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	17	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.	14	130	520	$330	$5.9M
J9271	Injection, pembrolizumab, 1 mg	6	10	210	$5,070	$5.8M
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.	22	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.	4	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.	16	110	1,520	$140	$3.4M
S9480	Intensive outpatient psychiatric services, per diem	4	60	5,640	$110	$1.3M
G0379	Direct admission of patient for hospital observation care	3	10	680	$1,140	$1.1M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	4	10	160	$4,170	$1.1M
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.	8	30	17,770	$50	$1.1M

Showing 1–10 of 466

Related Providers

Other providers that share a Tax Identification Number (TIN) with Svmc Holdings, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Pittaro	CT	Clinical Cardiac Electrophysiology Physician	$209.9K	$0
David Lorenz	CT	Interventional Cardiology Physician	$189.4K	$0
Aparna Srinivasan	CT	Cardiovascular Disease Physician	$175.2K	$0
John Novella	CT	Clinical Cardiac Electrophysiology Physician	$166.1K	$0
Charles Augenbraun	CT	Cardiovascular Disease Physician	$163.4K	$0
Dean George	CT	Dermatology Physician	$97.7K	$0
George Bell	CT	Cardiovascular Disease Physician	$84.2K	$0

Nearby Providers

Other providers in the same ZIP code as Svmc Holdings, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Era Rehabilitation Center, Inc	CT	Methadone Clinic	$0	$9.3M
Dva Healthcare Renal Care Inc	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.1M
All Kids Dental LLC	CT	Dental Clinic/Center	$0	$5.7M
Myorthos Connecticut Orthodontics PC	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.6M
Doctors Frankel And Hoo, LLC	CT	Optometrist	$0	$4.1M
Qmg4, LLC	CT	Family Medicine Physician	$0	$3.3M
Commerce Park Dental Group LLC	CT	Pediatric Dentistry	$0	$2.7M
Bridgeport Braces, LLC	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.6M
Modern Era Pediatric Practice	CT	Pediatric Adolescent Medicine Physician	$0	$2.1M
Ct Braces Bridgeport Orthodontics PC	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M

Svmc Holdings, Inc — Billing Profile & Reimbursement Data

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Svmc Holdings, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References