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.

Family And Internal Medicine Of Dixwell Avenue (NPI 1962681684)

Family And Internal Medicine Of Dixwell Avenue is a internal medicine physician provider located in Hamden, Connecticut. This profile covers 0 Medicare and 50 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	Family And Internal Medicine Of Dixwell Avenue
Address	2543 Dixwell Ave
City	Hamden
State	CT
ZIP	06514
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 30, 2007

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	36,180	$50	$1.7M
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…	9,950	$50	$497.5K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	740	$110	$78.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	6,740	$10	$67.4K
99203	The provider sees a new 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 provider…	620	$80	$48.7K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	3,750	$10	$41.3K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	2,220	$20	$33.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	240	$110	$25.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	2,970	$10	$20.8K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	440	$20	$7.1K

Showing 1–10 of 50

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

Family And Internal Medicine Of Dixwell Avenue — 1 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	162	1,590	740	$50	$331.8K
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…	62	1,710	750	$30	$243.3K
99203	The provider sees a new 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 provider…	155	480	200	$60	$112.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	43	200	530	$20	$69.3K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	36	70	380	$30	$65.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	69	150	190	$50	$43.5K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	83	290	470	$10	$41.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	34	140	150	$60	$38.6K
99442	N/A	80	220	170	$10	$25.9K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	3	10	80	$20	$25.2K

Showing 1–10 of 50

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Health Specialty Services, Inc	CT	Home Health Agency	$0	$11.1M
Visiting Nurse Services Inc. Of Southern Connecticut	CT	Home Health Agency	$0	$10.4M
Southern Home Care Services, Inc.	CT	Homemaker	$0	$5.5M
Dixwell Pharmacy LLC	CT	Community/Retail Pharmacy	$0	$3M
Hamden Dental Care	CT	General Practice Dentistry	$0	$2.6M
Chaudhry Medical Group, PC.	CT	Internal Medicine Physician	$0	$2.6M
Medical Center Pharmacy And Home Care Center, Inc	CT	Community/Retail Pharmacy	$0	$1.9M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$1.6M
The Center For Christian Initiative	CT	Clinical Social Worker	$0	$1.2M
G.p. Of Hamden, PC.	CT	Health Service Clinic/Center	$0	$1.1M

Family And Internal Medicine Of Dixwell Avenue — Billing Profile & Reimbursement Data

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Family And Internal Medicine Of Dixwell Avenue — 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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Frequently Asked Questions

References