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

CT#13 of 49 states

Connecticut Medicaid Spending

Connecticut's Medicaid program paid $5.10B across 19 providers from 2018–2024. 12 providers in Connecticut are flagged on our risk watchlist. The top procedure code is T1015 (Clinic visit/encounter, all-inclusive) at $781.4M.

Total Spending

$5.10B

Total Claims

114.7M

Top Providers

19

Beneficiaries

73.3M

Largest Provider

Yale New Haven Hospital

$1.08B

Top Procedure

T1015

$781.4M

Flagged Providers

12

on risk watchlist

Avg Per Provider

$268.4M

across 19 providers

Yearly Spending Trend

Top Providers in Connecticut

1

Yale New Haven Hospital

General Acute Care Hospital · New Haven

$1.08B

23.6M claims

2

Community Health Center INC

Counselor, Addiction (Substance Use Disorder) · Middletown

$533.3M

7.3M claims

3

New England Home Care Inc.

Home Health · Rocky Hill

$400.1M

6.8M claims

4

Hartford Hospital

General Acute Care Hospital · Hartford

$316.3M

7.4M claims

5

Cornell Scott Hill Health Corporation

Psychiatry & Neurology, Child & Adolescent Psychia · New Haven

$294.2M

3.9M claims

6

Bridgeport Hospital

General Acute Care Hospital · Bridgeport

$287.3M

7.0M claims

7

Saint Francis Hospital and Medical Center

General Acute Care Hospital · Hartford

$266.4M

7.4M claims

8

Connecticut Children's Medical Center

General Acute Care Hospital, Children · Hartford

$248.9M

2.5M claims

9

The Hospital of Central Connecticut at New Britain General and Bradley

General Acute Care Hospital · New Britain

$220.1M

4.1M claims

10

State of Connecticut

Counselor, Professional · Farmington

$205.9M

6.3M claims

11

Saint Mary's Hospital, Inc.

General Acute Care Hospital · Waterbury

$163.3M

4.9M claims

12

The William W Backus Hospital

Clinic/Center, Emergency Care · Norwich

$163.0M

3.3M claims

13

Stamford Hospital

Hospitalist · Stamford

$139.8M

4.2M claims

14

Yale University

Internal Medicine · New Haven

$137.0M

4.0M claims

15

Lawrence and Memorial Hospital, Inc.

Internal Medicine · New London

$136.2M

4.1M claims

16

Svmc Holdings, INC

General Acute Care Hospital · Bridgeport

$131.5M

2.6M claims

17

American Medical Response of Connecticut Incorporated

Ambulance, Land Transport · New Haven

$129.5M

1.1M claims

18

Danbury Hospital

General Practice · Danbury

$123.9M

3.3M claims

19

Hartford Dispensary

Clinic/Center, Methadone Clinic · Hartford

$122.8M

10.9M claims

Spending by Top Procedures

T1015Clinic visit/encounter, all-inclusive$781.4M
99285Emergency dept visit, high/urgent complexity$529.5M
99284Emergency dept visit, high complexity$409.9M
T1502Administration of oral, intramuscular, or subcutaneous medication$336.0M
99283Emergency dept visit, moderate complexity$265.7M

Top Procedures in Connecticut

CodeTotal Paid
T1015

Clinic visit/encounter, all-inclusive

$781.4M
99285

Emergency dept visit, high/urgent complexity

$529.5M
99284

Emergency dept visit, high complexity

$409.9M
T1502

Administration of oral, intramuscular, or subcutaneous medication

$336.0M
99283

Emergency dept visit, moderate complexity

$265.7M
G0463

Hospital outpatient clinic visit

$242.6M
H0020

Alcohol/drug services; methadone administration

$122.9M
96374

Therapeutic/prophylactic/diagnostic IV push, single substance

$92.4M
97110

Therapeutic exercises, each 15 min

$91.4M
J2350

Ocrelizumab (Ocrevus) injection, 1 mg

$86.5M
A0429

Ambulance, BLS emergency transport

$60.5M
J9271

Injection, pembrolizumab, 1 mg

$57.9M
A0427

Ambulance, ALS emergency transport Level 1

$49.0M
99282

Emergency dept visit, low complexity

$41.1M
96413

Chemotherapy administration, IV infusion, up to 1 hour

$40.5M