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.

Five-town Health Alliance, Inc (NPI 1013562636)

Field	Value
Entity Type	Organization
Organization	Five-town Health Alliance, Inc
Address	61 Pine St
City	Bristol
State	VT
ZIP	05443
Taxonomy	Dentist
NPI Enumerated	August 9, 2019

Payer Source	Total Paid
Medicaid	$229.9K
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
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,950	$50	$91.7K
D0120	Periodic oral evaluation - established patient	1,480	$20	$35.4K
D0150	Comprehensive oral evaluation – new or established patient	680	$40	$27.3K
D0274	N/A	520	$30	$15.2K
D0140	Limited oral evaluation – problem focused	420	$30	$13K
D0210	Intraoral - complete series of radiographic images	250	$50	$12.3K
D2392	Post 2 surface resin‑based composite	60	$160	$10.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	630	$20	$9.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	50	$100	$5.1K
D0220	Intraoral - periapical first radiographic image	350	$10	$4.9K

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

Five-town Health Alliance, Inc — 0 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
D2392	Post 2 surface resin‑based composite	51	60	610	$130	$155.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	41	50	400	$80	$101.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	32	150	540	$50	$73.5K
D1120	Prophylaxis–child	65	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	49	160	720	$30	$57.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	56	120	500	$20	$53.5K
D0140	Limited oral evaluation – problem focused	40	70	560	$40	$53.3K
D0150	Comprehensive oral evaluation – new or established patient	30	80	330	$40	$38.9K
D0210	Intraoral - complete series of radiographic images	15	40	160	$60	$32.2K
D0274	N/A	41	100	250	$30	$31.1K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Five-town Health Alliance, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Five-town Health Alliance, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$3.9M
Jessica Lindert	VT	Psychiatric/Mental Health Nurse Practitioner	$64K	$0
Laura Weylman	VT	Family Medicine Physician	$31.2K	$0
Shauna Mckeon	VT	Adult Health Nurse Practitioner	$23K	$0
Kate Lamancuso	VT	Family Medicine Physician	$1.1K	$0

Nearby Providers

Other providers in the same ZIP code as Five-town Health Alliance, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bristol Park Dental Associates Plc	VT	General Practice Dentistry	$0	$968.2K
Bristol Rescue Squad, Inc.	VT	Land Ambulance	$165.6K	$241.8K
Ellen Repstad	VT	Clinical Social Worker	$0	$96.1K
Terri Thomsen	VT	Addiction (Substance Use Disorder) Counselor	$0	$93.7K
Carolyn Dundon	VT	Psychologist	$0	$67.1K
Body And Mind Physical Therapy, Plc	VT	Physical Therapist	$0	$65.6K
Chad Volk	VT	Physical Medicine & Rehabilitation Physician	$36.1K	$0

Five-town Health Alliance, Inc — Billing Profile & Reimbursement Data

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Five-town Health Alliance, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References