Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Vermont (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Champlain Valley Hematology Oncology, PC (NPI 1003248238)

Field	Value
Entity Type	Organization
Organization	Champlain Valley Hematology Oncology, PC
Address	792 College Pkwy
City	Colchester
State	VT
ZIP	05446
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	July 30, 2013

Payer Source	Total Paid
Medicaid	$455.7K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,150	$60	$188.9K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	1,160	$80	$92K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,070	$80	$89.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2,870	$10	$28.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	3,080	$10	$18.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	2,040	$10	$18.4K
J7050	Infusion, normal saline solution, 250 cc	1,300	$10	$7.8K
J2469	Injection, palonosetron hcl, 25 mcg	80	$90	$7.3K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	390	$10	$3.5K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	70	$10	$890

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.

Claims Volume vs. Vermont Distribution

Champlain Valley Hematology Oncology, PC — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	81	320	680	$30	$146.1K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	1	10	420	$120	$77.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	23	110	170	$70	$38.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	7	20	670	$10	$18.1K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	3	10	390	$40	$15.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	6	20	1,130	$1	$8.6K
J2469	Injection, palonosetron hcl, 25 mcg	1	10	80	$90	$7.3K
J7050	Infusion, normal saline solution, 250 cc	1	10	710	$10	$4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	6	80	190	$1	$3.7K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	1	10	70	$10	$920

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Champlain Valley Hematology Oncology, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dennis Sanders	VT	Medical Oncology Physician	$1.3M	$0
Paul Unger	VT	Hematology & Oncology Physician	$744.6K	$0

Nearby Providers

Other providers in the same ZIP code as Champlain Valley Hematology Oncology, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Of Northern New England, Inc	VT	Obstetrics & Gynecology Physician	$0	$3.9M
Vt Center For Dental Implants And Maxillofacial Surgery LLC	VT	Oral and Maxillofacial Surgery Clinic/Center	$0	$2.6M
Kids Rehabgym Inc.	VT	Physical Therapy Clinic/Center	$0	$2.5M
Saint Michaels College Fire And Rescue Inc	VT	Land Ambulance	$281.9K	$1.5M
Robert Duwors	VT	Clinical Psychologist	$45K	$1.1M
Town Of Colchester	VT	Land Ambulance	$163.6K	$638.6K
Vermont Center For Responder Wellness LLC	VT	Clinical Social Worker	$0	$719.1K
Actd,llc	VT	Ambulatory Surgical Clinic/Center	$634.9K	$0
Counseling Connection Training Institute, Plc	VT	Mental Health Counselor	$0	$619.8K
Nicholas Hunter	VT	Clinical Psychologist	$0	$581.2K

Champlain Valley Hematology Oncology, PC — Billing Profile & Reimbursement Data

Sign up for Champlain Valley Hematology Oncology, PC — Billing Profile & Reimbursement Data policy alerts

Champlain Valley Hematology Oncology, PC — Billing Profile & Reimbursement Data

Sign up for Champlain Valley Hematology Oncology, PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References