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.

Howard Center Inc (NPI 1124292529)

Field	Value
Entity Type	Organization
Organization	Howard Center Inc
Address	300 Flynn Ave
City	Burlington
State	VT
ZIP	05401
Taxonomy	State or Local Public Health Clinic/Center
NPI Enumerated	April 16, 2008

Payer Source	Total Paid
Medicaid	$23.4M
Medicare	$0

Key Findings

Howard Center Inc is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $23.4M in lifetime Medicaid revenue, indicating Medicaid is the dominant — and for practical purposes sole — payer in this dataset for the organization. The absence of Medicare activity suggests its service mix and contracts are concentrated on state-funded behavioral health and community support programs rather than traditional Medicare-covered services.

Revenue is highly concentrated in a small set of Medicaid lines: the precomputed top 3 Medicaid codes account for 85.5% of the provider's total Medicaid revenue. In particular, T1024 alone generates $16.7M (71.4% of Medicaid revenue), making the provider dependent on a single code for the majority of reported Medicaid payments.

The code mix indicates the organization operates large, programmatic behavioral-health and coordinated-care services rather than primarily office-based primary care. T1024 (integrated specialty team for severely handicapped children, per encounter) dominance points to contracted, coordinated care programs for complex pediatric patients; H2017 (psychosocial rehabilitation, per 15 minutes) and H0019 (long-term residential behavioral health, per diem) further signal a mix of intensive outpatient rehabilitation and residential treatment capacity.

Howard Center is a statewide leader for several high-volume programs but shows a mixed competitive footprint across service types. It ranks #1 of 14 providers in-state for T1024 (100th percentile; notably above typical state volume), demonstrating clear market dominance in that contracted integrated-team service, while H2017 ranks #3 of 28 (93th percentile; typical volume) and H0019 ranks #5 of 6 (20th percentile; typical volume), indicating strong presence in some rehab services but only modest participation in long-term residential among peers.

Several behavioral-health psychotherapy codes show unusually large claim volumes relative to peers and contribute meaningful supplemental revenue. For example, 90837 accounts for $946.5K (4.0% of Medicaid revenue) with 27.8K claims and ranks #4 of 666 providers in-state (100th percentile; extreme outlier), suggesting exceptionally high utilization of long psychotherapy sessions compared with statewide norms.

There are multiple codes with very large claim counts but reported $0 average paid per claim, which may reflect bundled payments, waiver billing practices, or data-reporting differences rather than absence of service delivery. Notable examples include T2016 (83K claims, $0 avg paid; ranks #1 of 12, 100th percentile, notably above typical), H2011 (38.4K claims, $0 avg paid; ranks #1 of 20, 100th percentile, extreme outlier), and H2015 (217.5K claims, $0 avg paid; ranks #2 of 19, 94th percentile, notably above typical state volume).

The provider’s NPI has been enumerated since 2008-04-16 (~18 years ago), indicating long tenure in the Vermont market; combined with the dominance in T1024, this suggests established contractual relationships with state programs for complex pediatric and behavioral-health services. This longevity supports the interpretation that high-volume programmatic billing is a durable feature of the organization’s operations.

From a payer-analyst perspective, priorities for follow-up would be monitoring T1024 dependency risk and understanding revenue resiliency if that program’s contracts or rates change, while also validating reporting conventions for the high-volume, $0-paid codes. The mix — concentrated program revenue plus very high psychotherapy utilization and sizable per-diem residential billing — frames Howard Center as a program-focused behavioral-health provider with concentrated Medicaid exposure and limited diversification into other payers.

Medicaid: Complete Services Breakdown

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

42 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	29,710	$560	$16.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	99,460	$20	$1.7M
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	350	$4,590	$1.6M
H0046	Mental health services, not otherwise specified	6,240	$260	$1.6M
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…	27,840	$30	$946.5K
H2022	Community-based wrap-around services, per diem	370	$980	$363.7K
H0040	Assertive community treatment program, per diem	390	$520	$201.1K
H2000	Comprehensive multidisciplinary evaluation	2,110	$60	$128.5K
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…	19,150	$1	$57.4K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	390	$110	$42.1K

Showing 1–10 of 42

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

Howard Center Inc — 5 of 21 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	12	10	18,970	$620	$35.6M
H2015	Comprehensive community support services, per 15 minutes	2	20	64,230	$90	$7.1M
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	5	10	510	$4,230	$6.6M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	1	10	7,720	$560	$4.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	3	30	6,730	$110	$4.1M
H0046	Mental health services, not otherwise specified	2	10	330	$1,360	$3.1M
S9485	Crisis intervention mental health services, per diem	2	10	880	$2,040	$1.6M
H2014	Skills training and development, per 15 minutes	10	10	7,770	$60	$599.6K
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…	111	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…	4	670	760	$70	$143.9K

Showing 1–10 of 42

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard Center Inc	VT	Developmentally Disabled Services Day Training Agency	$0	$332.2M
Howard Center Inc	VT	Adolescent and Children Mental Health Clinic/Center	$0	$130.1M
Vermont Department Of Mental Health	VT	Adult Mental Health Clinic/Center	$0	$105.1M
Community Health Centers Of Burlington Inc	VT	Federally Qualified Health Center (FQHC)	$0	$39.8M
Howard Center Inc	VT	Methadone Clinic	$517.9K	$35M
University Of Vermont Medical Center Inc	VT	Internal Medicine Physician	$0	$17.6M
Transition Ii	VT	Case Manager/Care Coordinator	$0	$17.3M
The Dental Center At Community Health Center Of Burlington	VT	Dental Clinic/Center	$0	$6.7M
City Of Burlington Vermont	VT	Land Ambulance	$677.2K	$4.3M
Spectrum, Inc.	VT	Addiction (Substance Use Disorder) Counselor	$0	$2.4M

Howard Center Inc — 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