Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Medicaid spending in Connecticut

7,868 providers based in Connecticut were paid $14.00B in outpatient and professional Medicaid claims from 2018 through 2024. The largest single code is T1015, a visit at a community health center or clinic (one all-in rate), at $1.75B. New Haven is the biggest billing hub.

28Total paid$14.00B
33Billing providers7,868
24GClaims334,759,571
On OIG exclusion list15
Box 33 · Billing provider

Who sent the bill in Connecticut

  1. Physicians
    20¢
  2. Clinics and outpatient centers
    20¢
  3. Hospitals (outpatient claims only)
    17¢
  4. Counselors, therapists and social workers
    11¢
  5. Agencies — home care, case management, community support
    8¢
  6. Dentists
    5¢
  7. Nursing Service Related Providers
    5¢
  8. Rides and ambulances
    3¢

Cents of every dollar billed by Connecticut-based providers, grouped by each provider's primary NPPES type. Compare: nationally, agencies take 33¢ and physicians 11¢.

Box 24 · Service lines

The biggest codes

All Connecticut codes →
  1. T1015A visit at a community health center or clinic (one all-in rate)
    $1.8B
  2. 99285Emergency room visit (most serious)
    $759M
  3. T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit
    $645M
  4. 99284Emergency room visit (serious)
    $597M
  5. 99214Doctor's office visit, returning patient (more involved)
    $527M
  6. 90837Psychotherapy session, about an hour
    $441M
  7. 99213Doctor's office visit, returning patient (routine)
    $417M
  8. 99283Emergency room visit (moderate)
    $388M
  9. H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)
    $382M
  10. G0463Hospital outpatient clinic visit for assessment and management of a patient
    $278M
Box 32 · Location

By city

New Haven$2.0BHartford$1.7BBridgeport$1.1BMiddletown$755MWaterbury$726MRocky Hill$639MDanbury$436MNew Britain$398MFarmington$368MStamford$366MNorwich$323MStratford$285MManchester$245MMeriden$221MEast Hartford$214MNorwalk$202MTorrington$198MNew London$194MShelton$193MBristol$178MWillimantic$176MMilford$175MHamden$149MTrumbull$141MEast Haven$141MWest Hartford$118MDerby$115MWeathersfield$112MPlainville$112MCheshire$111MWethersfield$96MNorth Haven$84MFairfield$82MWindsor$81MPutnam$80MNewington$71MWest Haven$70MVernon$68MWallingford$67MNaugatuck$65MGreenwich$63MNorth Stonington$57MBrookfield$53MBranford$49MEnfield$43MMansfield Center$42MAvon$39MBloomfield$39MLebanon$37MAnsonia$35M
Auditor's notes

Billing flags in Connecticut

Statistical outliers on claims per beneficiary, single-code billing, and OIG exclusion. Not evidence of fraud — how these work.

#ProviderFlagsPaid
1 The Village for Families & Children, INC. single-code billing $28.46M
2 Connecticut Renaissance, INC single-code billing $5.53M
3 Sunset Shores of Milford, INC. single-code billing $4.58M
4 Connecticut Counseling Centers, INC single-code billing $3.77M
5 Keystone House INC. single-code billing $3.38M
6 Complete Care Health Services, LLC single-code billing $2.82M
7 Youth Challenge of Connecticut, INC. single-code billing $2.51M
8 United Services, INC. single-code billing $2.31M
9 Connecticut Counseling Centers, INC single-code billing $2.05M
10 Pines, Michael OIG excluded $1.96M
11 Accurate Health Care LLC single-code billing $1.87M
12 Collins, Rachel OIG excluded $1.74M
13 Connections Counseling Center, LLC single-code billing $1.65M
14 Slocum, Jeffrey OIG excluded $1.47M
15 Liberty Homecare Options, LLC single-code billing $1.44M
16 Soebrown INC. single-code billing $1.32M
17 Klein, Gayle single-code billing $1.29M
18 Vicarah, LLC single-code billing $1.16M
19 Banks, Gregory OIG excluded $1.15M
20 CT Therapy Works LLC single-code billing $1.10M
21 Art Therapy of Hamden LLC single-code billing $1.09M
22 Haley Counseling Center single-code billing $1.05M
23 Dunlap, Cortney OIG excluded $487K
24 Bethea, Ethel OIG excluded $427K
25 Thurber, Thomas OIG excluded $384K
Ranked

Top 100 providers in Connecticut

#ProviderTypeCityClaimsPaid
1 Yale New Haven Hospital Hospital New Haven 23,557,851 $1.08B
2 Community Health Center INC Behavioral Middletown 7,332,545 $533.31M
3 New England Home Care INC. Rocky Hill 6,765,929 $400.06M
4 Hartford Hospital Clinic Hartford 7,407,519 $316.28M
5 Cornell Scott Hill Health Corporation Physician New Haven 3,878,634 $294.23M
6 Bridgeport Hospital Hospital Bridgeport 7,011,413 $287.34M
7 Saint Francis Hospital and Medical Center Physician Hartford 7,411,868 $266.39M
8 Connecticut Children's Medical Center Hospital Hartford 2,468,547 $248.94M
9 The Hospital of Central Connecticut at New Britain General and Bradley Hospital New Britain 4,101,984 $220.10M
10 State of Connecticut Behavioral Farmington 6,309,714 $205.92M
11 Saint Mary's Hospital, INC. Hospital Waterbury 4,906,079 $163.27M
12 The William W Backus Hospital Clinic Norwich 3,316,330 $163.01M
13 Stamford Hospital Physician Stamford 4,198,195 $139.83M
14 Yale University Physician New Haven 4,034,511 $137.03M
15 Lawrence and Memorial Hospital, INC. Physician New London 4,077,349 $136.19M
16 SVMC Holdings, INC Hospital Bridgeport 2,572,004 $131.51M
17 American Medical Response of Connecticut Incorporated Transport New Haven 1,104,697 $129.51M
18 Danbury Hospital Physician Danbury 3,341,221 $123.87M
19 Hartford Dispensary Clinic Hartford 10,920,604 $122.79M
20 Family Care Visiting Nurse & Home Health Care Agency, LLC Stratford 1,841,251 $119.26M
21 Middlesex Hospital Clinic Middletown 2,850,102 $116.08M
22 Caregiver Homes of Connecticut, INC Nursing facility Weathersfield 1,216,445 $112.44M
23 Midstate Medical Center Clinic Meriden 2,176,560 $110.82M
24 Wheeler Clinic INC Clinic Plainville 1,260,008 $102.75M
25 Optimus Health Care INC Clinic Bridgeport 1,896,082 $100.27M
26 South-West Community Health Center, INC Physician Bridgeport 2,116,967 $95.29M
27 Coordinated Transportation Solutions, INC. Transport Trumbull 5,193,595 $95.15M
28 Pediatric Services of America, LLC Agency Shelton 320,595 $92.74M
29 The Charlotte Hungerford Hospital Behavioral Torrington 1,925,033 $89.43M
30 Prospect Waterbury, INC. Hospital Waterbury 2,313,484 $84.62M
31 Fair Haven Community Health Clinic INC Dental New Haven 1,338,494 $83.67M
32 Utopia Home Care INC East Haven 2,089,980 $81.31M
33 The Griffin Hospital Clinic Derby 2,343,766 $80.66M
34 Prohealth Physicians PC Physician Farmington 1,762,658 $80.49M
35 Norwalk Hospital Association Physician Norwalk 1,642,413 $77.51M
36 Staywell Health Care, INC. Physician Waterbury 1,476,042 $76.71M
37 All Pointe Homecare LLC Agency Cheshire 316,045 $72.68M
38 Windham Community Memorial Hospital, INC. Physician Willimantic 1,313,514 $69.61M
39 Prospect Manchester Hospital, INC. Clinic Manchester 2,197,712 $69.20M
40 Bristol Hospital Incorporated Hospital Bristol 2,132,541 $67.98M
41 Family and Children's Aid, INC. Behavioral Danbury 442,546 $64.02M
42 United Community and Family Services, INC. Behavioral Norwich 799,060 $63.68M
43 Generations Family Health Center, INC. Clinic Willimantic 1,133,799 $61.79M
44 Connecticut Children's Specialty Group, INC. Physician Hartford 1,186,462 $59.85M
45 Northeast Medical Group, INC. Behavioral Bridgeport 1,684,552 $59.52M
46 Community Health Services, INC. Clinic Hartford 1,048,396 $59.49M
47 Collins Pharmacy INC Supplier Bridgeport 312,130 $59.08M
48 Physicians for Women's Health LLC Physician Rocky Hill 2,246,993 $57.27M
49 Intercommunity, INC. Clinic East Hartford 764,433 $55.83M
50 Priority Care, INC. Agency Rocky Hill 1,094,862 $53.76M
51 First Choice Health Centers, INC. Clinic East Hartford 1,008,460 $51.48M
52 Stonington Behavioral Health INC Residential North Stonington 323,121 $50.94M
53 Day Kimball Healthcare, INC. Hospital Putnam 1,674,411 $48.68M
54 Centerwell Certified Healthcare Corp. Agency Stratford 1,079,565 $48.34M
55 Greenwich Hospital Hospital Greenwich 1,601,284 $46.42M
56 Hartford Healthcare Medical Group Specialists, PLLC Physician Hartford 1,476,707 $46.03M
57 Charter Oak Health Center, INC. Clinic Hartford 795,026 $42.52M
58 Trinity Health of New England Provider Network Organization INC Physician Hartford 1,834,247 $41.97M
59 Hudson Home Health Care INC Supplier Newington 177,803 $41.76M
60 Midwestern Connecticut Council on Alcoholism, INC Residential Danbury 296,379 $39.95M
61 Urgent Care Medical Associates, LLC Clinic Brookfield 790,944 $39.87M
62 All About Kids Pediatric Dentistry Dental Stamford 805,071 $39.62M
63 The Village for Families & Children, INC. Clinic Hartford 386,754 $39.58M
64 Community Health Resources, INC. Clinic Windsor 808,930 $38.89M
65 Starling Physicians, PLLC Physician Rocky Hill 1,352,834 $38.11M
66 Planned Parenthood of Southern New England, INC. Clinic New Haven 1,343,441 $38.09M
67 Access Rehab Centers, LLC Waterbury 1,550,387 $37.10M
68 Southeastern Council on Alcoholism and Drug Dependence INC Clinic Lebanon 206,361 $36.77M
69 Apt Foundation, INC Clinic North Haven 2,773,510 $36.23M
70 Natchaug Hospital, INC. Clinic Mansfield Center 335,437 $35.88M
71 Adult Day Care of America, INC. Agency Shelton 380,065 $35.09M
72 University of Connecticut Health Center Dental Farmington 1,137,431 $34.83M
73 Prospect CT Medical Foundation, INC. Behavioral Manchester 1,348,275 $34.07M
74 Docs Medical INC Physician East Haven 793,916 $33.56M
75 Southwestern Connecticut Agency on Aging Agency Bridgeport 9,306,109 $33.49M
76 Optimus Health Care Clinic Bridgeport 437,748 $33.15M
77 Connecticut Institute for Communities INC Clinic Danbury 651,340 $32.80M
78 All About You Collaborative Health Care Services.Llc (D.B.A.) Agency Naugatuck 614,145 $32.45M
79 Byram Healthcare Centers, INC. Supplier Milford 511,234 $30.18M
80 Prospect Rockville Hospital, INC. Clinic Vernon 771,392 $30.06M
81 Advanced Home Health Care Agency, INC Agency West Hartford 512,901 $29.29M
82 Norwalk Community Health Center INC Clinic Norwalk 498,647 $29.27M
83 The Children's Center of Hamden, INC. Clinic Hamden 103,891 $29.06M
84 Apt Foundation, INC Clinic New Haven 2,193,666 $28.87M
85 The Village for Families & Children, INC. Residential Hartford 47,393 $28.46M
86 Hartford Hospital Physician Hartford 808,029 $27.50M
87 Intercommunity, INC. Clinic East Hartford 148,641 $27.10M
88 Hartford Dispensary Clinic Hartford 294,258 $25.98M
89 Retina Consultants PC Physician Manchester 244,185 $25.78M
90 Hunter's Ambulance Service, INC. Transport Meriden 345,577 $25.52M
91 United Community and Family Services, INC. Physician Norwich 645,149 $24.84M
92 A Better Life Homecare LLC Agency Suffield 47,379 $23.81M
93 Stamford Health Medical Group, INC. Physician Stamford 790,339 $23.50M
94 Hartford Healthcare Urgent Care Centers, LLC Behavioral Avon 767,087 $23.33M
95 Rushford Center INC Clinic Middletown 157,316 $23.00M
96 Hartford Healthcare Medical Group, INC Physician Wethersfield 601,952 $22.51M
97 Johnson Memorial Hospital, INC. Physician Stafford Springs 701,586 $22.35M
98 The Hospital of Central Connecticut at New Britain General and Bradley Physician New Britain 643,028 $22.22M
99 Aetna Ambulance Service, INC Transport Hartford 220,479 $22.16M
100 Wheeler Clinic INC. Clinic Bristol 441,554 $21.86M