Medicare provider payments and utilization data for Connecticut (CT)
Connecticut received $9.7B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Ophthalmology, accounting for $84.6M in payments across 269 providers.
In 2023, 16.7K providers were actively billing Medicare in Connecticut.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $1.0B | 26.2M | 14.0K | — |
| 2015 | $1.1B | 26.2M | 14.5K | +1.9% |
| 2016 | $1.1B | 24.8M | 15.0K | +0.1% |
| 2017 | $1.1B | 24.7M | 15.5K | +0.9% |
| 2018 | $967.9M | 21.8M | 15.7K | -9.1% |
| 2019 | $959.6M | 21.2M | 16.0K | -0.9% |
| 2020 | $803.3M | 18.1M | 15.7K | -16.3% |
| 2021 | $924.7M | 19.7M | 16.1K | +15.1% |
| 2022 | $881.8M | 19.4M | 16.3K | -4.6% |
| 2023 | $915.8M | 20.1M | 16.7K | +3.9% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $91.8M | 1.0M | 6.5K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $51.9M | 818.3K | 6.4K |
| J0178 | Injection, aflibercept, 1 mg | $30.7M | 44.7K | 43 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $26.9M | 486.8K | 171 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $21.3M | 336.2K | 2.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $19.5M | 54.0K | 131 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $18.1M | 42.2K | 126 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $17.2M | 228.1K | 550 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $16.6M | 172.8K | 1.7K |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | $16.2M | 381.8K | 67 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $15.1M | 113.3K | 1.5K |
| 99285 | Emergency department visit with high level of medical decision making | $14.0M | 98.5K | 795 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $12.7M | 31.9K | 145 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $12.3M | 96.3K | 1.8K |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $12.1M | 101.0K | 2.7K |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $12.0M | 86.1K | 1.7K |
| 99291 | Critical care, first 30-74 minutes | $12.0M | 68.5K | 1.1K |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $12.0M | 622.7K | 1.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $11.8M | 54.1K | 14 |
| 92014 | Established patient complete exam of visual system | $10.8M | 117.7K | 583 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $84.6M | 269 | $314.6K |
| Internal Medicine | $82.3M | 1.6K | $52.5K |
| Nurse Practitioner | $62.1M | 2.3K | $27.1K |
| Ambulance Service Provider | $59.4M | 137 | $433.9K |
| Geriatric Medicine | $44.7M | 61 | $732.9K |
| Diagnostic Radiology | $41.8M | 465 | $89.9K |
| Cardiology | $38.6M | 361 | $107.0K |
| Physical Therapist in Private Practice | $33.2M | 930 | $35.7K |
| Physician Assistant | $32.4M | 1.8K | $17.8K |
| Ambulatory Surgical Center | $29.3M | 52 | $564.3K |
| Orthopedic Surgery | $25.4M | 313 | $81.2K |
| Dermatology | $24.6M | 183 | $134.5K |
| Emergency Medicine | $23.1M | 613 | $37.7K |
| Family Practice | $21.0M | 496 | $42.4K |
| Mass Immunizer Roster Biller | $20.5M | 333 | $61.5K |
| Clinical Laboratory | $19.3M | 18 | $1.1M |
| Pulmonary Disease | $14.2M | 205 | $69.4K |
| Podiatry | $14.1M | 208 | $67.6K |
| Gastroenterology | $12.4M | 251 | $49.5K |
| Hospitalist | $11.8M | 310 | $38.0K |
| Nephrology | $11.4M | 106 | $107.2K |
| Hematology-Oncology | $10.9M | 119 | $91.4K |
| Urology | $10.6M | 120 | $88.3K |
| Neurology | $10.3M | 255 | $40.3K |
| Vascular Surgery | $10.2M | 63 | $162.4K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.