Connecticut's 7,868 Medicaid providers billed $14.00B between 2018 and 2024. The most-billed code is T1015, accounting for $1.75B in payments. New Haven is the largest Medicaid billing hub in the state. 15 providers in CT appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | $1.75B |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $758.99M |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | $644.50M |
NEW HAVEN ($2.05B) HARTFORD ($1.66B) BRIDGEPORT ($1.07B) MIDDLETOWN ($755.27M) WATERBURY ($726.15M) ROCKY HILL ($638.82M) DANBURY ($435.81M) NEW BRITAIN ($398.40M) FARMINGTON ($368.06M) STAMFORD ($365.95M) NORWICH ($322.86M) STRATFORD ($285.23M) MANCHESTER ($244.94M) MERIDEN ($221.11M) EAST HARTFORD ($213.80M) NORWALK ($202.40M) TORRINGTON ($197.95M) NEW LONDON ($193.81M) SHELTON ($192.65M) BRISTOL ($177.99M) WILLIMANTIC ($175.57M) MILFORD ($175.21M) HAMDEN ($148.72M) TRUMBULL ($141.25M) EAST HAVEN ($141.10M) WEST HARTFORD ($117.96M) DERBY ($115.00M) WEATHERSFIELD ($112.44M) PLAINVILLE ($111.57M) CHESHIRE ($111.19M) WETHERSFIELD ($96.44M) NORTH HAVEN ($83.84M) FAIRFIELD ($81.97M) WINDSOR ($81.48M) PUTNAM ($79.89M) NEWINGTON ($71.21M) WEST HAVEN ($70.21M) VERNON ($67.80M) WALLINGFORD ($67.08M) NAUGATUCK ($65.29M) GREENWICH ($63.24M) NORTH STONINGTON ($56.76M) BROOKFIELD ($53.45M) BRANFORD ($48.83M) ENFIELD ($42.63M) MANSFIELD CENTER ($42.03M) AVON ($39.32M) BLOOMFIELD ($38.51M) LEBANON ($37.40M) ANSONIA ($35.06M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | THE VILLAGE FOR FAMILIES & CHILDREN, INC. | $28.46M | single-code billing |
| 2 | CONNECTICUT RENAISSANCE, INC | $5.53M | single-code billing |
| 3 | SUNSET SHORES OF MILFORD, INC. | $4.58M | single-code billing |
| 4 | CONNECTICUT COUNSELING CENTERS, INC | $3.77M | single-code billing |
| 5 | KEYSTONE HOUSE INC. | $3.38M | single-code billing |
| 6 | COMPLETE CARE HEALTH SERVICES, LLC | $2.82M | single-code billing |
| 7 | YOUTH CHALLENGE OF CONNECTICUT, INC. | $2.51M | single-code billing |
| 8 | UNITED SERVICES, INC. | $2.31M | single-code billing |
| 9 | CONNECTICUT COUNSELING CENTERS, INC | $2.05M | single-code billing |
| 10 | PINES, MICHAEL | $1.96M | OIG excluded |
| 11 | ACCURATE HEALTH CARE LLC | $1.87M | single-code billing |
| 12 | COLLINS, RACHEL | $1.74M | OIG excluded |
| 13 | CONNECTIONS COUNSELING CENTER, LLC | $1.65M | single-code billing |
| 14 | SLOCUM, JEFFREY | $1.47M | OIG excluded |
| 15 | LIBERTY HOMECARE OPTIONS, LLC | $1.44M | single-code billing |
| 16 | SOEBROWN INC. | $1.32M | single-code billing |
| 17 | KLEIN, GAYLE | $1.29M | single-code billing |
| 18 | VICARAH, LLC | $1.16M | single-code billing |
| 19 | BANKS, GREGORY | $1.15M | OIG excluded |
| 20 | CT THERAPY WORKS LLC | $1.10M | single-code billing |
| 21 | ART THERAPY OF HAMDEN LLC | $1.09M | single-code billing |
| 22 | HALEY COUNSELING CENTER | $1.05M | single-code billing |
| 23 | DUNLAP, CORTNEY | $487K | OIG excluded |
| 24 | BETHEA, ETHEL | $427K | OIG excluded |
| 25 | THURBER, THOMAS | $384K | OIG excluded |
| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | YALE NEW HAVEN HOSPITAL | NEW HAVEN | 23,557,851 | $1.08B |
| 2 | COMMUNITY HEALTH CENTER INC | MIDDLETOWN | 7,332,545 | $533.31M |
| 3 | NEW ENGLAND HOME CARE INC. | ROCKY HILL | 6,765,929 | $400.06M |
| 4 | HARTFORD HOSPITAL | HARTFORD | 7,407,519 | $316.28M |
| 5 | CORNELL SCOTT HILL HEALTH CORPORATION | NEW HAVEN | 3,878,634 | $294.23M |
| 6 | BRIDGEPORT HOSPITAL | BRIDGEPORT | 7,011,413 | $287.34M |
| 7 | SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | HARTFORD | 7,411,868 | $266.39M |
| 8 | CONNECTICUT CHILDREN'S MEDICAL CENTER | HARTFORD | 2,468,547 | $248.94M |
| 9 | THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY | NEW BRITAIN | 4,101,984 | $220.10M |
| 10 | STATE OF CONNECTICUT | FARMINGTON | 6,309,714 | $205.92M |
| 11 | SAINT MARY'S HOSPITAL, INC. | WATERBURY | 4,906,079 | $163.27M |
| 12 | THE WILLIAM W BACKUS HOSPITAL | NORWICH | 3,316,330 | $163.01M |
| 13 | STAMFORD HOSPITAL | STAMFORD | 4,198,195 | $139.83M |
| 14 | YALE UNIVERSITY | NEW HAVEN | 4,034,511 | $137.03M |
| 15 | LAWRENCE AND MEMORIAL HOSPITAL, INC. | NEW LONDON | 4,077,349 | $136.19M |
| 16 | SVMC HOLDINGS, INC | BRIDGEPORT | 2,572,004 | $131.51M |
| 17 | AMERICAN MEDICAL RESPONSE OF CONNECTICUT INCORPORATED | NEW HAVEN | 1,104,697 | $129.51M |
| 18 | DANBURY HOSPITAL | DANBURY | 3,341,221 | $123.87M |
| 19 | HARTFORD DISPENSARY | 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 | MIDDLETOWN | 2,850,102 | $116.08M |
| 22 | CAREGIVER HOMES OF CONNECTICUT, INC | WEATHERSFIELD | 1,216,445 | $112.44M |
| 23 | MIDSTATE MEDICAL CENTER | MERIDEN | 2,176,560 | $110.82M |
| 24 | WHEELER CLINIC INC | PLAINVILLE | 1,260,008 | $102.75M |
| 25 | OPTIMUS HEALTH CARE INC | BRIDGEPORT | 1,896,082 | $100.27M |
| 26 | SOUTH-WEST COMMUNITY HEALTH CENTER, INC | BRIDGEPORT | 2,116,967 | $95.29M |
| 27 | COORDINATED TRANSPORTATION SOLUTIONS, INC. | TRUMBULL | 5,193,595 | $95.15M |
| 28 | PEDIATRIC SERVICES OF AMERICA, LLC | SHELTON | 320,595 | $92.74M |
| 29 | THE CHARLOTTE HUNGERFORD HOSPITAL | TORRINGTON | 1,925,033 | $89.43M |
| 30 | PROSPECT WATERBURY, INC. | WATERBURY | 2,313,484 | $84.62M |
| 31 | FAIR HAVEN COMMUNITY HEALTH CLINIC INC | NEW HAVEN | 1,338,494 | $83.67M |
| 32 | UTOPIA HOME CARE INC | EAST HAVEN | 2,089,980 | $81.31M |
| 33 | THE GRIFFIN HOSPITAL | DERBY | 2,343,766 | $80.66M |
| 34 | PROHEALTH PHYSICIANS PC | FARMINGTON | 1,762,658 | $80.49M |
| 35 | NORWALK HOSPITAL ASSOCIATION | NORWALK | 1,642,413 | $77.51M |
| 36 | STAYWELL HEALTH CARE, INC. | WATERBURY | 1,476,042 | $76.71M |
| 37 | ALL POINTE HOMECARE LLC | CHESHIRE | 316,045 | $72.68M |
| 38 | WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC. | WILLIMANTIC | 1,313,514 | $69.61M |
| 39 | PROSPECT MANCHESTER HOSPITAL, INC. | MANCHESTER | 2,197,712 | $69.20M |
| 40 | BRISTOL HOSPITAL INCORPORATED | BRISTOL | 2,132,541 | $67.98M |
| 41 | FAMILY AND CHILDREN'S AID, INC. | DANBURY | 442,546 | $64.02M |
| 42 | UNITED COMMUNITY AND FAMILY SERVICES, INC. | NORWICH | 799,060 | $63.68M |
| 43 | GENERATIONS FAMILY HEALTH CENTER, INC. | WILLIMANTIC | 1,133,799 | $61.79M |
| 44 | CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. | HARTFORD | 1,186,462 | $59.85M |
| 45 | NORTHEAST MEDICAL GROUP, INC. | BRIDGEPORT | 1,684,552 | $59.52M |
| 46 | COMMUNITY HEALTH SERVICES, INC. | HARTFORD | 1,048,396 | $59.49M |
| 47 | COLLINS PHARMACY INC | BRIDGEPORT | 312,130 | $59.08M |
| 48 | PHYSICIANS FOR WOMEN'S HEALTH LLC | ROCKY HILL | 2,246,993 | $57.27M |
| 49 | INTERCOMMUNITY, INC. | EAST HARTFORD | 764,433 | $55.83M |
| 50 | PRIORITY CARE, INC. | ROCKY HILL | 1,094,862 | $53.76M |
| 51 | FIRST CHOICE HEALTH CENTERS, INC. | EAST HARTFORD | 1,008,460 | $51.48M |
| 52 | STONINGTON BEHAVIORAL HEALTH INC | NORTH STONINGTON | 323,121 | $50.94M |
| 53 | DAY KIMBALL HEALTHCARE, INC. | PUTNAM | 1,674,411 | $48.68M |
| 54 | CENTERWELL CERTIFIED HEALTHCARE CORP. | STRATFORD | 1,079,565 | $48.34M |
| 55 | GREENWICH HOSPITAL | GREENWICH | 1,601,284 | $46.42M |
| 56 | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS, PLLC | HARTFORD | 1,476,707 | $46.03M |
| 57 | CHARTER OAK HEALTH CENTER, INC. | HARTFORD | 795,026 | $42.52M |
| 58 | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC | HARTFORD | 1,834,247 | $41.97M |
| 59 | HUDSON HOME HEALTH CARE INC | NEWINGTON | 177,803 | $41.76M |
| 60 | MIDWESTERN CONNECTICUT COUNCIL ON ALCOHOLISM, INC | DANBURY | 296,379 | $39.95M |
| 61 | URGENT CARE MEDICAL ASSOCIATES, LLC | BROOKFIELD | 790,944 | $39.87M |
| 62 | ALL ABOUT KIDS PEDIATRIC DENTISTRY | STAMFORD | 805,071 | $39.62M |
| 63 | THE VILLAGE FOR FAMILIES & CHILDREN, INC. | HARTFORD | 386,754 | $39.58M |
| 64 | COMMUNITY HEALTH RESOURCES, INC. | WINDSOR | 808,930 | $38.89M |
| 65 | STARLING PHYSICIANS, PLLC | ROCKY HILL | 1,352,834 | $38.11M |
| 66 | PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND, INC. | 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 | LEBANON | 206,361 | $36.77M |
| 69 | APT FOUNDATION, INC | NORTH HAVEN | 2,773,510 | $36.23M |
| 70 | NATCHAUG HOSPITAL, INC. | MANSFIELD CENTER | 335,437 | $35.88M |
| 71 | ADULT DAY CARE OF AMERICA, INC. | SHELTON | 380,065 | $35.09M |
| 72 | UNIVERSITY OF CONNECTICUT HEALTH CENTER | FARMINGTON | 1,137,431 | $34.83M |
| 73 | PROSPECT CT MEDICAL FOUNDATION, INC. | MANCHESTER | 1,348,275 | $34.07M |
| 74 | DOCS MEDICAL INC | EAST HAVEN | 793,916 | $33.56M |
| 75 | SOUTHWESTERN CONNECTICUT AGENCY ON AGING | BRIDGEPORT | 9,306,109 | $33.49M |
| 76 | OPTIMUS HEALTH CARE | BRIDGEPORT | 437,748 | $33.15M |
| 77 | CONNECTICUT INSTITUTE FOR COMMUNITIES INC | DANBURY | 651,340 | $32.80M |
| 78 | ALL ABOUT YOU COLLABORATIVE HEALTH CARE SERVICES.LLC (D.B.A.) | NAUGATUCK | 614,145 | $32.45M |
| 79 | BYRAM HEALTHCARE CENTERS, INC. | MILFORD | 511,234 | $30.18M |
| 80 | PROSPECT ROCKVILLE HOSPITAL, INC. | VERNON | 771,392 | $30.06M |
| 81 | ADVANCED HOME HEALTH CARE AGENCY, INC | WEST HARTFORD | 512,901 | $29.29M |
| 82 | NORWALK COMMUNITY HEALTH CENTER INC | NORWALK | 498,647 | $29.27M |
| 83 | THE CHILDREN'S CENTER OF HAMDEN, INC. | HAMDEN | 103,891 | $29.06M |
| 84 | APT FOUNDATION, INC | NEW HAVEN | 2,193,666 | $28.87M |
| 85 | THE VILLAGE FOR FAMILIES & CHILDREN, INC. | HARTFORD | 47,393 | $28.46M |
| 86 | HARTFORD HOSPITAL | HARTFORD | 808,029 | $27.50M |
| 87 | INTERCOMMUNITY, INC. | EAST HARTFORD | 148,641 | $27.10M |
| 88 | HARTFORD DISPENSARY | HARTFORD | 294,258 | $25.98M |
| 89 | RETINA CONSULTANTS PC | MANCHESTER | 244,185 | $25.78M |
| 90 | HUNTER'S AMBULANCE SERVICE, INC. | MERIDEN | 345,577 | $25.52M |
| 91 | UNITED COMMUNITY AND FAMILY SERVICES, INC. | NORWICH | 645,149 | $24.84M |
| 92 | A BETTER LIFE HOMECARE LLC | SUFFIELD | 47,379 | $23.81M |
| 93 | STAMFORD HEALTH MEDICAL GROUP, INC. | STAMFORD | 790,339 | $23.50M |
| 94 | HARTFORD HEALTHCARE URGENT CARE CENTERS, LLC | AVON | 767,087 | $23.33M |
| 95 | RUSHFORD CENTER INC | MIDDLETOWN | 157,316 | $23.00M |
| 96 | HARTFORD HEALTHCARE MEDICAL GROUP, INC | WETHERSFIELD | 601,952 | $22.51M |
| 97 | JOHNSON MEMORIAL HOSPITAL, INC. | STAFFORD SPRINGS | 701,586 | $22.35M |
| 98 | THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY | NEW BRITAIN | 643,028 | $22.22M |
| 99 | AETNA AMBULANCE SERVICE, INC | HARTFORD | 220,479 | $22.16M |
| 100 | WHEELER CLINIC INC. | BRISTOL | 441,554 | $21.86M |