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.

Taconic Orthopaedics PC (NPI 1114092327)

Field	Value
Entity Type	Organization
Organization	Taconic Orthopaedics PC
Address	3505 Richville Rd
City	Manchester Center
State	VT
ZIP	05255
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$177.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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…	1,280	$60	$71.7K
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…	1,270	$40	$52K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	400	$110	$45.5K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,780	$1	$5.3K
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…	30	$40	$1.5K
99204	The provider sees a new 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 provider…	20	$80	$1.2K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	30	$0	$0
J1885	Injection, ketorolac tromethamine, per 15 mg	310	$0	$0
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	210	$0	$0
Q9965	Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	690	$0	$0

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

Taconic Orthopaedics PC — 2 of 6 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

10 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…	133	320	680	$30	$146.1K
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…	129	320	760	$20	$88.2K
99204	The provider sees a new 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 provider…	42	50	50	$80	$50K
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…	90	110	170	$70	$38.6K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	1	10	30	$110	$12.3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1	10	160	$1	$1.7K
J1885	Injection, ketorolac tromethamine, per 15 mg	4	10	680	$1	$170
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	1	10	210	$1	$1
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	20	20	190	$0	$0
Q9965	Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	1	10	690	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Taconic Orthopaedics PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Giering	VT	Physical Medicine & Rehabilitation Physician	$397K	$0
Deborah Henley	VT	Orthopaedic Surgery Physician	$26K	$0

Nearby Providers

Other providers in the same ZIP code as Taconic Orthopaedics PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Donna Miller	VT	Pediatrics Physician	$0	$866.8K
Manchester Rescue Squad Inc	VT	Ambulance	$314.7K	$333.7K
Manchester Medical Center PLLC	VT	Emergency Medicine Physician	$0	$433.2K
Steven Mann	VT	Clinical Psychologist	$98.8K	$173.6K
Richard Malik	VT	Naturopath	$0	$192.9K
Glen Mackenzie	VT	Gynecology Physician	$12K	$171.5K
Thomas Sterling	VT	Emergency Medicine Physician	$118.3K	$0
Nicholas Voci	VT	Physical Therapist	$108.7K	$0
Keith Michl	VT	Internal Medicine Physician	$92.3K	$0
Patricia Patane	VT	Physical Therapist	$85.9K	$0

Taconic Orthopaedics PC — Billing Profile & Reimbursement Data

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Taconic Orthopaedics PC — 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