Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

The Hospital of Central Connecticut at New Britain General and Bradley

General Acute Care Hospital·New Britain, CT·NPI: 1053477075SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Rate Outlier

Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

Bills $297.55 per claim for 99284 (Emergency dept visit, high complexity) — 4.3× the national median of $69.51.

Bills $440.45 per claim for 99285 (Emergency dept visit, high/urgent complexity) — 5.1× the national median of $85.65.

Bills $214.48 per claim for 99283 (Emergency dept visit, moderate complexity) — 5.0× the national median of $42.48.

Billing above the 90th percentile for 12 procedure codes simultaneously.

This is a statistical summary, not an accusation. See our methodology.

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $220.1M is at the 50th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$220.1M

$220,100,848

Total Claims

4.1M

Beneficiaries

2.8M

1.4 claims/patient

Avg Cost/Claim

$54

#386 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

The Hospital of Central Connecticut at New Britain General and Bradley is a General Acute Care Hospital provider based in New Britain, CT. From the 2018–2024 period, this provider received $220.1M in Medicaid payments across 4.1M claims.

Why This Matters

This provider received $220.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 27,512 Medicaid beneficiaries for a full year at average per-enrollee costs.

32% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$26.7M
+8%
2019
$28.8M
-14%
2020
$24.9M
+29%
2021
$32.2M
+5%
2022
$33.9M
+13%
2023
$38.3M
-8%
2024
$35.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 16% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$35.8M

120K claims · 16.3%

Your Cost: $297.55/claim|Median: $69.51
4.3× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$33.5M

76K claims · 15.2%

Your Cost: $440.45/claim|Median: $85.65
5.1× median
99283Top 5%

Emergency dept visit, moderate complexity

$25.0M

117K claims · 11.4%

Your Cost: $214.48/claim|Median: $42.48
5.0× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$10.4M

2K claims · 4.7%

Your Cost: $4,789.98/claim|Median: $5,391.55
0.9× median
G0463Top 25%

Hospital outpatient clinic visit

$9.6M

119K claims · 4.4%

Your Cost: $80.71/claim|Median: $26.41
3.1× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$9.2M

60K claims · 4.2%

Your Cost: $153.08/claim|Median: $21.76
7.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$7.1M

131K claims · 3.2%

Your Cost: $53.93/claim|Median: $24.49
2.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$3.8M

21K claims · 1.7%

Your Cost: $183.44/claim|Median: $65.76
2.8× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$3.1M

17K claims · 1.4%

Your Cost: $177.74/claim|Median: $75.28
2.4× median
99291Top 5%

Critical care, first 30-74 minutes

$3.0M

5K claims · 1.4%

Your Cost: $622.21/claim|Median: $101.24
6.2× median
96361Normal range

IV infusion, hydration, each additional hour

$2.8M

54K claims · 1.3%

Your Cost: $53.06/claim|Median: $38.92
1.4× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$2.7M

22K claims · 1.2%

Your Cost: $125.42/claim|Median: $54.77
2.3× median
J1439Normal range

$2.7M

5K claims · 1.2%

Your Cost: $519.54/claim|Median: $477.34
1.1× median
70450Top 25%

CT head/brain without contrast

$2.7M

23K claims · 1.2%

Your Cost: $117.21/claim|Median: $45.53
2.6× median
71046Top 5%

Chest X-ray, 2 views

$2.4M

43K claims · 1.1%

Your Cost: $56.62/claim|Median: $8.92
6.3× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$2.4M

14K claims · 1.1%

Your Cost: $166.42/claim|Median: $36.13
4.6× median
59025Top 10%

Fetal non-stress test

$2.2M

14K claims · 1.0%

Your Cost: $162.20/claim|Median: $26.45
6.1× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$2.2M

48K claims · 1.0%

Your Cost: $44.87/claim|Median: $14.92
3.0× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$2.0M

15K claims · 0.9%

Your Cost: $133.40/claim|Median: $61.57
2.2× median
99282Top 25%

Emergency dept visit, low complexity

$2.0M

15K claims · 0.9%

Your Cost: $127.45/claim|Median: $37.72
3.4× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$1.9M

3K claims · 0.9%

Your Cost: $729.54/claim|Median: $233.73
3.1× median
J0897Normal range

Injection, denosumab, one milligram

$1.6M

2K claims · 0.7%

Your Cost: $711.17/claim|Median: $493.25
1.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.6M

12K claims · 0.7%

Your Cost: $135.35/claim|Median: $60.19
2.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.5M

5K claims · 0.7%

Your Cost: $278.12/claim|Median: $54.68
5.1× median
11043Top 10%

$1.5M

6K claims · 0.7%

Your Cost: $258.44/claim|Median: $62.99
4.1× median
J2357Normal range

Injection, omalizumab, 5 mg

$1.5M

2K claims · 0.7%

Your Cost: $602.50/claim|Median: $920.37
0.7× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$1.5M

401 claims · 0.7%

Your Cost: $3,631.99/claim|Median: $3,562.28
1.0× median
77067Top 10%

Screening mammography, bilateral, including CAD

$1.4M

13K claims · 0.6%

Your Cost: $106.73/claim|Median: $39.33
2.7× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$1.3M

13K claims · 0.6%

Your Cost: $98.50/claim|Median: $53.41
1.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.1M

10K claims · 0.5%

Your Cost: $111.32/claim|Median: $91.47
1.2× median