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.

Seall Inc (NPI 1053910539)

Field	Value
Entity Type	Organization
Organization	Seall Inc
Address	204 Depot St
City	Bennington
State	VT
ZIP	05201
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	October 26, 2020

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

Key Findings

SEALL INC’s billing footprint is narrowly focused on long-term residential behavioral health services: its Medicaid top code is H0019 (Behavioral health; long-term residential, without room and board, per diem), which aligns with its taxonomy as an Emotionally Disturbed Childrens' Residential Treatment Facility and indicates the operation is delivering extended residential treatment rather than short outpatient encounters. This code mix implies clinical and operational structures set up for sustained stays and programmatic behavioral care rather than episodic medical procedures.

Revenue is highly concentrated within Medicaid: total Medicaid revenue is $6.6M and the precomputed top-3 Medicaid codes account for 100.0% of that revenue, with H0019 representing the entirety of reported Medicaid revenue. This concentration means all billed Medicaid activity on file is captured by residential behavioral health per diem services.

The payer mix is effectively single-payer: this provider has no Medicare billing on file while reporting $6.6M in Medicaid revenue, indicating reliance on Medicaid as the primary (and only reported) public payer. For analysts, this signals that changes in Medicaid policy or reimbursement would disproportionately affect the provider’s finances because there is no Medicare offset.

Unit-level activity is notable for its high average payment per claim: H0019 shows 550 claims with a $12028 avg paid/claim, totaling $6.6M in revenue. That high avg paid/claim is consistent with the code description of long-term residential (per diem) services aggregated across extended stays, suggesting substantial per-episode or per-stay payments rather than routine short visits.

Competitively within Vermont, SEALL INC is a modest participant on its primary code: it ranks #3 of 6 providers in-state and sits at the 60th percentile for H0019, characterized in the source data as "typical, unremarkable volume for this code." This ranking positions the provider in the middle of the in-state market rather than as a dominant statewide provider for long-term residential behavioral health.

The provider has been enumerated for several years, with NPI registration dated 2020-10-26 (~6 years ago), which provides a short but measurable tenure for establishing referral relationships and program maturation in the state market. Analysts should interpret the combination of several years of enrollment and concentrated Medicaid revenue as evidence of an operationally focused program that has been stable enough to bill consistently to Medicaid since enumeration.

Operational and payer risk is concentrated: because H0019 represents 100.0% of reported Medicaid revenue, SEALL INC’s financial performance appears highly exposed to utilization shifts, Medicaid rate changes, or coding policy updates specific to long-term residential behavioral health. From a contracting and oversight perspective, this profile suggests priority areas for payer-provider discussions would include per-diem rates, length-of-stay drivers, and documentation tied to H0019 reimbursement.

The absence of Medicare billing alongside a Medicaid-only revenue stream reinforces that SEALL INC’s services are likely specialized to pediatric or child/adolescent populations and non-acute residential settings that are typically reimbursed through Medicaid. For competitive analysis, this specialization helps explain both the lack of Medicare presence and the provider’s middle-tier in-state ranking for H0019 rather than broad multi-payer market penetration.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	550	$12,030	$6.6M

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

Seall Inc — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	3	10	510	$4,230	$6.6M

Nearby Providers

Other providers in the same ZIP code as Seall Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Counseling Service Of Bennington County, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$72.5M
Vermont Permanency Initiative, Inc.	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$27.9M
Savida Health, PC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$12M
Sunrise Family Resource Center	VT	Social Worker	$0	$7M
United Counseling Service Of Bennington County, Inc.	VT	Clinic/Center	$0	$6M
Southwestern Vermont Medical Center Inc.	VT	General Acute Care Hospital	$0	$5.1M
Town Of Bennington Rescue Squad, Inc.	VT	Land Ambulance	$683.4K	$2.7M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Oral And Facial Surgery Associates,plc	VT	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
Brookside Pediatrics & Adolescent Medicine PLLC	VT	Pediatrics Physician	$0	$1.2M

Seall Inc — Billing Profile & Reimbursement Data

Sign up for Seall Inc — Billing Profile & Reimbursement Data policy alerts

Seall Inc — Billing Profile & Reimbursement Data

Sign up for Seall Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References