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.

Health Care And Rehabilitation Services Of Southeastern Vermont, Inc. (NPI 1114144565)

Field	Value
Entity Type	Organization
Organization	Health Care And Rehabilitation Services Of Southeastern Vermont, Inc.
Address	1 Hospital Ct
City	Bellows Falls
State	VT
ZIP	05101
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	April 19, 2007

Payer Source	Total Paid
Medicaid	$131.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	2,380	$30	$73.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	350	$100	$33.4K
H0006	Alcohol and/or drug services; case management	820	$30	$20.5K
H0005	Alcohol and/or drug services; group counseling by a clinician	50	$70	$3.6K

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

Health Care And Rehabilitation Services Of Southeastern Vermont, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	18	20	1,410	$80	$247.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	13	10	630	$60	$243.1K
H0006	Alcohol and/or drug services; case management	6	10	970	$20	$35.5K
T1016	Case management, each 15 minutes	21	40	3,900	$1	$31.1K

Nearby Providers

Other providers in the same ZIP code as Health Care And Rehabilitation Services Of Southeastern Vermont, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Care & Rehabilitation Services	VT	Developmental Disabilities Clinic/Center	$0	$136.1M
Health Care & Rehabilitation Services	VT	Adolescent and Children Mental Health Clinic/Center	$0	$25.4M
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$7.8M
Health Care & Rehabilitaion Services	VT	Clinic/Center	$0	$5M
Health Care And Rehabilitation Services Of Southeastern Vermont, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$1M
Sandra Cotter,lcmhc, Ladc,llc	VT	Mental Health Counselor	$0	$509.4K
Health Care And Rehabilitation Services Of Southeastern Vermont, Inc.	VT	Community/Behavioral Health Agency	$0	$507K
Waypoint Counseling LLC	VT	Mental Health Counselor	$0	$368.7K
Jordan River Dental	VT	General Practice Dentistry	$0	$185K
Timothy Johnson	VT	Optometrist	$51.3K	$99.5K

Health Care And Rehabilitation Services Of Southeastern Vermont, Inc. — Billing Profile & Reimbursement Data

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Health Care And Rehabilitation Services Of Southeastern Vermont, 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

Nearby Providers

Frequently Asked Questions

References