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NPI 1073567590 · Brandon, VT · Family Medicine Physician
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Community Health Centers Of The Rutland Region, Inc. is a family medicine physician provider located in Brandon, Vermont. This profile covers 0 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Community Health Centers Of The Rutland Region, Inc. |
| Address | 420 Grove St |
| City | Brandon |
| State | VT |
| ZIP | 05733 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | May 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.3M |
| Medicare | $0 |
This provider has no Medicare billing on file and reported Total Medicaid revenue of $4.3M, so its measurable fee-for-service activity in the available data is effectively single-payer (Medicaid). The NPI was enumerated 2006-05-20 (~20 years ago), indicating roughly two decades of recorded activity for this clinic-level entity.
Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 99.2% of the provider’s total Medicaid revenue, with T1015 alone representing $4.1M (96.2%). That level of concentration means a single encounter/bundle code drives nearly all recorded Medicaid dollars for this provider.
The top-code mix points to a primary care / community clinic operational model: T1015 is a Clinic visit/encounter, all-inclusive code and G0467 is an FQHC visit code, while 99214 captures moderate-complexity established patient E/M work. Together these codes indicate the practice bills mainly for bundled clinic encounters and routine outpatient primary care rather than procedure-heavy specialty services.
T1015 shows 25.1K claims, $164 avg paid/claim, $4.1M revenue (96.2% of total) and ranks #21 of 70 providers in-state (71th percentile); the metric is described as typical, unremarkable volume for this code. Despite the provider’s heavy revenue dependence on T1015, its volume position is not an outlier statewide, suggesting a high-volume clinic operating within normal peer patterns for encounter billing.
G0467 (4.6K claims, $14 avg paid/claim, $64.7K revenue, 1.5%) ranks #8 of 49 (85th percentile) and 99214 (12.7K claims, $5 avg paid/claim, $63.7K revenue, 1.5%) ranks #17 of 323 (95th percentile); both codes are labeled typical, unremarkable volume for this code. Those ranks indicate relatively strong FQHC-visit and E/M claim volumes versus peers even though each contributes only a small share of revenue compared with T1015.
The provider bills for ancillary services (for example 87637 generated $22.9K, and routine vaccines such as 90471 generated $3.5K) but these items are minor contributors to overall Medicaid revenue. Several common E/M codes show large claim counts with little direct fee revenue—e.g., 99213 has 11.3K claims, $0 avg paid/claim, $0 revenue—consistent with encounter-level bundling where E/M activity is captured within the dominant T1015 payment.
Operationally, the mix signals both scale and risk: dependence on a single bundled encounter code tied to Medicaid creates material revenue concentration, and with no Medicare billing on file there is little diversification by payer. The modest revenue from labs, vaccines, and other codes provides limited hedging against any policy or rate changes that affect encounter billing or Medicaid reimbursement for FQHC/clinic visits.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 25,080 | $160 | $4.1M |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 4,620 | $10 | $64.7K |
| 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… | 12,730 | $10 | $63.7K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 160 | $140 | $22.9K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 50 | $90 | $4K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 440 | $10 | $3.5K |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 220 | $10 | $2.4K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 820 | $1 | $820 |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 820 | $1 | $820 |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 30 | $20 | $510 |
Showing 1–10 of 20
How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Vermont median
20 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 21 | 70 | 11,650 | $150 | $3.3M |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 5 | 10 | 160 | $120 | $149.2K |
| 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… | 17 | 320 | 680 | $30 | $146.1K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 587 | 670 | 760 | $70 | $143.9K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 38 | 320 | 760 | $20 | $88.2K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 8 | 50 | 1,020 | $20 | $87.6K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 64 | 170 | 360 | $20 | $35.9K |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 30 | 40 | 890 | $10 | $32.1K |
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 46 | 110 | 260 | $20 | $19.5K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 15 | 20 | 180 | $40 | $15.6K |
Showing 1–10 of 20
Other providers in the same ZIP code as Community Health Centers Of The Rutland Region, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Brandon Area Rescue Squad, Inc | VT | Ambulance | $137.1K | $158K |
| Otter Creek Therapies | VT | Occupational Therapist | $0 | $176.7K |
| Charles L. Foster, Dc PC | VT | Chiropractor | $0 | $173.6K |
| Kim Kurak | VT | Family Medicine Physician | $4.8K | $0 |
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