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.

Springfield Area Parent Child Center (NPI 1114097375)

Field	Value
Entity Type	Organization
Organization	Springfield Area Parent Child Center
Address	2 Main St
City	North Springfield
State	VT
ZIP	05150
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused provider: there is no Medicare billing on file, and total Medicaid revenue is $4.2M. The absence of any Medicare activity indicates the organization’s service mix and patient population are concentrated in Medicaid-covered programs rather than fee-for-service Medicare care.

Revenue is highly concentrated in a single code: the top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with T1024 alone representing $4.1M (98.6% of Medicaid revenue). This level of concentration means the organization’s financial performance is effectively tied to reimbursement and utilization patterns for T1024.

The dominant billing code, T1024, corresponds to evaluation and treatment by an integrated, specialty team for multiple or severely handicapped children (7.3K claims, $563 avg paid/claim, $4.1M revenue). Statewide competitive metrics place the provider at #8 of 14 for T1024 (46th percentile; typical, unremarkable volume for this code), indicating it is a mid-ranked, typical participant in delivering this core service rather than a statewide leader or outlier.

The secondary revenue driver is T2023 (Targeted case management; per month): 161 claims, $369 avg paid/claim, $59.4K revenue (1.4% of Medicaid revenue). The provider ranks #7 of 9 in-state for T2023 (25th percentile; typical, unremarkable volume for this code), signaling a modest role in targeted case management relative to in-state peers.

Several commonly billed service codes show substantial claim volume but recorded $0 in paid amounts (for example, T1027: 2.8K claims, $0 avg paid/claim, $0 revenue; H2017: 66 claims, $0 avg paid/claim, $0 revenue; T1016: 1.2K claims, $0 avg paid/claim, $0 revenue). These zero-dollar lines together represent 0.0% of reported Medicaid revenue and may reflect bundling, non-billable administrative entries, or state reporting artifacts rather than reimbursed fee-for-service activity; they should be investigated further before assuming underlying service shortfalls.

Business and service-line signals from the code mix indicate this organization operates as a public health/welfare agency focused on coordinated pediatric and behavioral health supports: T1024 (integrated specialty teams for severely handicapped children), T2023 (targeted case management), and codes for family training and psychosocial rehabilitation appear throughout the claims profile. This mix aligns with the provider taxonomy (Public Health or Welfare Agency) and suggests programmatic emphasis on multidisciplinary care coordination rather than episodic medical procedures.

From a competitive standpoint within Vermont, the provider is not a dominant statewide player for its top codes. Its mid-rank position on T1024 (46th percentile) and lower ranks on other paid codes (for example, T2023 at the 25th percentile) mark it as a modest, typical participant in the in-state market rather than a market leader. Analysts should therefore treat this entity as a steady, specialized service provider whose market impact is concentrated in a narrow set of Medicaid-funded programs.

The provider has long-standing presence in federal enrollment: NPI was enumerated on 2006-11-08 (~20 years ago). That tenure supports continuity of operations and suggests the observed billing concentration is likely a sustained strategic focus rather than a transient reporting artifact.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	7,340	$560	$4.1M
T2023	Targeted case management; per month	160	$370	$59.4K
H2017	Psychosocial rehabilitation services, per 15 minutes	70	$0	$0
H2019	Therapeutic behavioral services, per 15 minutes	110	$0	$0
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	650	$0	$0
T1016	Case management, each 15 minutes	1,180	$0	$0
T1017	Targeted case management, each 15 minutes	480	$0	$0
T1027	Family training and counseling for child development, per 15 minutes	2,790	$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

Springfield Area Parent Child Center — 0 of 2 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	8	10	7,720	$560	$4.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	26	30	6,730	$110	$4.1M
T2023	Targeted case management; per month	7	10	870	$390	$292.1K
T1027	Family training and counseling for child development, per 15 minutes	5	10	2,700	$80	$213.5K
T1017	Targeted case management, each 15 minutes	14	20	1,580	$30	$102.9K
H2019	Therapeutic behavioral services, per 15 minutes	7	10	260	$50	$34.1K
T1016	Case management, each 15 minutes	25	40	3,900	$1	$31.1K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	6	10	2,050	$1	$730

Nearby Providers

Other providers in the same ZIP code as Springfield Area Parent Child Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Springfield Area Parent Child Center	VT	Speech-Language Pathologist	$0	$58.4K

Springfield Area Parent Child Center — Billing Profile & Reimbursement Data

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Springfield Area Parent Child Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References