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.

New Solutions Pain Management Clinic LLC (NPI 1962806679)

New Solutions Pain Management Clinic LLC is a nurse practitioner provider located in Orange, Connecticut. This profile covers 0 Medicare and 12 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	New Solutions Pain Management Clinic LLC
Address	236 Boston Post Road
City	Orange
State	CT
ZIP	06477
Taxonomy	Nurse Practitioner
NPI Enumerated	October 9, 2014
NPI Deactivated	August 8, 2023

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	109,580	$70	$7.8M
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	3,210	$140	$455.7K
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…	8,440	$50	$388.4K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	37,480	$10	$187.4K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3,750	$40	$153.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	6,170	$20	$141.9K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	4,130	$20	$95.1K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	200	$70	$14.3K
99204	The provider sees a new 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 provider…	110	$120	$12.8K
99442	N/A	270	$20	$5.7K

Showing 1–10 of 12

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

New Solutions Pain Management Clinic LLC — 4 of 12 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

12 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…	15	1,590	740	$50	$331.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	33	60	9,020	$20	$324.9K
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…	230	1,710	750	$30	$243.3K
99204	The provider sees a new 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 provider…	276	480	150	$90	$100.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	37	160	720	$10	$96.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	3	170	70	$110	$34K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	1	30	180	$50	$30K
99442	N/A	88	220	170	$10	$25.9K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	24	60	120	$40	$16.4K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	4	80	790	$1	$12.1K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Donalda Isidore	CT	Family Nurse Practitioner	$164.7K	$0
Petra Wilson	CT	Family Nurse Practitioner	$155.4K	$0
Kary Krochko	CT	Family Nurse Practitioner	$65.6K	$0
Kimberly Gambino	CT	Family Nurse Practitioner	$56.7K	$0
Kevin Dinsmore	CT	Family Nurse Practitioner	$21.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Med-aid LLC	CT	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Ldo, LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Impact Health P.C.	CT	Nurse Practitioner	$0	$1.4M
Lung Docs Of Ct PC	CT	Pulmonary Disease Physician	$0	$1.3M
Laura Scanlon	CT	Optometrist	$0	$1.1M
Pediatrics And Adolescent Medicine, P.C.	CT	Pediatrics Physician	$0	$1.1M
Ambulatory Dental Anesthesia Associates, LLC	CT	General Practice Dentistry	$0	$1.1M
Jeffrey Reynolds	CT	Nephrology Physician	$160.6K	$0
Jillian Reid	CT	Adult Health Nurse Practitioner	$157.2K	$0
Bayode Afolalu	CT	Nephrology Physician	$141.6K	$0

New Solutions Pain Management Clinic LLC — Billing Profile & Reimbursement Data

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New Solutions Pain Management Clinic LLC — 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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