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.

Charter Oak Health Center, Inc. (NPI 1992750855)

Field	Value
Entity Type	Organization
Organization	Charter Oak Health Center, Inc.
Address	21 Grand St
City	Hartford
State	CT
ZIP	06106
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicaid	$42.5M
Medicare	$0

Key Findings

CHARTER OAK HEALTH CENTER is effectively a Medicaid-focused provider: there is no Medicare billing on file while total Medicaid revenue is reported as $42.5M, indicating the organization operates as an essentially single-payer (Medicaid) outpatient safety-net practice in this dataset. The provider’s FQHC taxonomy aligns with this payer concentration and the billing patterns shown.

Revenue is highly concentrated in a single FQHC encounter code: the top three Medicaid codes together account for 99.8% of this provider’s total Medicaid revenue, and T1015 alone represents $42M (98.9% of Medicaid revenue). This degree of concentration implies the organization’s financial performance on Medicaid is overwhelmingly driven by bundled clinic/encounter payments rather than a diversified fee schedule.

The code mix and taxonomy point to an FQHC operating model built around bundled clinic visits and population management: T1015 (Clinic visit/encounter, all-inclusive) is the dominant revenue driver, while FQHC-specific codes such as G0467 and G0470 also appear on the file (e.g., G0467: 16.1K claims, $64.2K revenue), supporting a model of per-encounter bundled services delivered in a federally qualified health center setting. This pattern is consistent with comprehensive primary care and on-site wraparound services typical of FQHCs.

CHARTER OAK also shows active chronic care management and telehealth activity at modest revenue levels: G0511 has 14.7K claims and $308.4K revenue (0.7% of Medicaid revenue; ranks #7 of 17 in-state, 63th percentile) and G2025 has 3.8K claims and $94.9K revenue (0.2% of Medicaid revenue; ranks #10 of 27 in-state, 65th percentile). These lines indicate ongoing use of monthly care-management and remote-service billing alongside the primary T1015 encounters.

On competitive standing, the provider is a solid but not dominant Medicaid player for its top revenue code: T1015 ranks #13 of 73 in-state (83th percentile) and is described as "typical, unremarkable volume for this code," so the organization captures meaningful FQHC encounter revenue without being a statewide volume leader. Similarly, G0511 and G2025 sit in mid-level percentiles (63th and 65th, respectively), reinforcing a mid-to-high but not market-leading presence in these service lines.

There is a notable pattern of very large claim counts tied to $0 reported Medicaid revenue for many common E/M, vaccine, lab, and therapy codes (for example, 99213: 175.4K claims, $0 revenue; 90471: 19.4K claims, $0 revenue; 90472: 12.6K claims, $0 revenue; 98940: 19.4K claims, $0 revenue). These high-volume, zero-revenue lines (many with very high state percentiles) likely reflect encounter reporting, bundled payment accounting, or payer-specific reporting conventions for an FQHC rather than absence of clinical activity.

Several codes are statistical outliers in state volume despite contributing little or no direct Medicaid revenue on file: G0447 is #1 of 14 (100th percentile; extreme outlier), 90472 is #1 of 75 (100th percentile; extreme outlier), and 99213 is #11 of 1714 (99th percentile; extreme outlier). These flagged outlier positions suggest unusually high utilization or reporting for those services relative to state peers and should be considered when comparing operational intensity or service mix across FQHCs.

The provider has an established presence with long tenure in the national registry: the NPI was enumerated on 2006-05-22 (~20 years ago), indicating a longstanding FQHC operation that has accumulated consistent Medicaid encounter billing patterns over an extended period.

Medicaid: Complete Services Breakdown

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

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	338,620	$120	$42M
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	14,690	$20	$308.4K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	3,800	$30	$94.9K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	16,060	$1	$64.2K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	1,600	$1	$3.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2,860	$1	$2.9K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	1,000	$1	$1K
G0127	Trimming of dystrophic nails, any number	10	$10	$100
0001A	N/A	160	$0	$0
0002A	N/A	150	$0	$0

Showing 1–10 of 120

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

Charter Oak Health Center, Inc. — 0 of 8 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

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	13	70	830	$150	$24M
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	7	20	6,040	$40	$952.7K
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…	128	1,590	740	$50	$331.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	10	30	2,590	$60	$278.5K
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…	11	1,710	750	$30	$243.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	53	170	850	$80	$203.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	227	420	1,230	$20	$199.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	256	570	410	$50	$197.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	8	30	6,140	$20	$180.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	61	160	680	$70	$166.1K

Showing 1–10 of 120

Related Providers

Other providers that share a Tax Identification Number (TIN) with Charter Oak Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charter Oak Health Center, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$8M
Charter Oak Health Center	CT	Federally Qualified Health Center (FQHC)	$0	$3.9M
Robert Smith	CT	Specialist	$33.8K	$1.1M
Landry Deuboue	MD	Primary Care Nurse Practitioner	$749.9K	$0
Abeeda Mehwash	CT	Optometrist	$134.9K	$0
Arpad Fejos	CT	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	$86K	$0
Brimal Patel	CT	Family Medicine Physician	$76.8K	$0
Japheth Mongare	CT	Foot & Ankle Surgery Podiatrist	$68.5K	$0
Maria Della Porta	CT	Optometrist	$26.4K	$0
Helen Tang	MA	Physician Assistant	$13.1K	$0

Nearby Providers

Other providers in the same ZIP code as Charter Oak Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Children's Medical Center	CT	Children's Hospital	$0	$248.8M
Hartford Dispensary	CT	Substance Use Disorder Rehabilitation Clinic/Center	$1.6M	$122.8M
Connecticut Children's Specialty Group, Inc.	CT	Pediatrics Physician	$0	$59.8M
Hartford Healthcare Medical Group Specialists, PLLC	CT	Surgery Physician	$0	$46M
Hartford Dispensary	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.1M
Aetna Ambulance Service, Inc	CT	Land Ambulance	$2.9M	$22.2M
Home Care Vna, LLC	CT	Home Health Agency	$0	$12.4M
Connecticut Gi PLLC	CT	Gastroenterology Physician	$0	$12M
Dierks Dialysis LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.2M
Consulting Cardiologists, P.C.	CT	Cardiovascular Disease Physician	$0	$3.3M

Charter Oak Health Center, Inc. — Billing Profile & Reimbursement Data

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Charter Oak Health Center, 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