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.

Alexandra Van Dyck (NPI 1144424979)

Key Findings

Field	Value
Entity Type	Individual
Organization	Alexandra Van Dyck
Address	152 Grafton Rd
City	Townshend
State	VT
ZIP	05353
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 14, 2007

Payer Source	Total Paid
Medicare	$173.2K
Medicaid	$0

ALEXANDRA VAN DYCK is an Internal Medicine physician in TOWNSHEND, VT with Medicare lifetime revenue of $173.2K and no Medicaid billing on file, making her effectively a single‑payer (Medicare) billing profile. Her NPI was enumerated 2007-06-14 (~19 years ago), indicating long-term presence in the Medicare program.

Revenue concentration is high: the top three Medicare codes account for 64.1% of this provider's total Medicare revenue, driven by 99490 ($49.1K revenue, 28.3% of this provider's total Medicare revenue), 99439 ($37.2K revenue, 21.5% of this provider's total Medicare revenue), and 99309 ($24.9K revenue, 14.3% of this provider's total Medicare revenue). This concentration signals that a majority of billing depends on chronic care management and nursing‑facility follow-up services.

The code mix indicates an operational focus on time‑based chronic care management (CCM) and nursing facility care: 99490 shows 1K claims at $48 avg paid/claim, 99439 shows 1K claims at $37 avg paid/claim, while nursing facility subsequent visits (99309) show 307 claims at $81 avg paid/claim and initial nursing facility visits (99306) show 164 claims at $140 avg paid/claim. Together these volumes suggest a practice model that combines high-volume, recurring CCM work with regular nursing‑facility visit activity.

Behavioral health integration is also evident: collaborative care management codes 99493 (91 claims, $10K revenue, 5.8% of Medicare revenue), 99492 (64 claims, $7.4K revenue, 4.2% of Medicare revenue), and 99494 (62 claims, $2.8K revenue, 1.6% of Medicare revenue) are all present, indicating active use of CoCM services alongside primary CCM and nursing facility care. The presence of these codes suggests routine psychiatric collaborative care activities in addition to general chronic care management.

Competitive standing is mixed by code: the provider ranks highly on national benchmarks for CCM codes (99490 ranks #1022 of 16216 providers nationally, 94th percentile; 99439 ranks #248 of 8395, 97th percentile) and shows above‑median presence on several CoCM codes (99492 ranks #28 of 232, 88th percentile), but is closer to typical/moderate national participation for nursing‑facility subsequent visits (99309 ranks #11136 of 28092, 60th percentile). In sum, the provider is a strong national participant in CCM and CoCM activity while more modest on some nursing‑facility measures.

Unit payment and volume dynamics show a high-volume, lower‑unit‑payment pattern for CCM: 99490 posts 1K claims at $48 avg paid/claim and 99439 posts 1K claims at $37 avg paid/claim, whereas nursing facility codes carry higher per‑claim payments (e.g., 99306 at $140 avg paid/claim and 99309 at $81 avg paid/claim) but substantially fewer claims. This mix implies revenue stability driven by recurring CCM encounters supplemented by higher‑value but lower‑frequency facility visits.

Benchmark descriptors assigned to individual codes are largely neutral: many of the top codes are labeled in the source as "typical, unremarkable volume for this code" despite relatively high percentiles for some CCM codes, and a small number of codes sit at low national ranks (for example, 99307 ranks #7759 of 8370 providers nationally, 5th percentile, with the same neutral label). Overall the pattern does not present labeled statistical outliers in the source descriptors, even where the provider ranks highly on CCM metrics.

For payer and network analysis, the provider’s lack of any Medicaid billing on file combined with concentrated Medicare revenue in CCM, CoCM, and nursing facility care suggests contract and utilization focus areas should be Medicare CCM/CoCM performance and post‑acute/nursing facility utilization; this profile is unlikely to drive Medicaid exposure but could represent concentrated Medicare management risk given the preponderance of time‑based chronic care services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,020	$50	$49.1K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,010	$40	$37.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	310	$80	$24.9K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	160	$140	$23K
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	90	$110	$10K
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…	90	$90	$7.4K
99492	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	60	$120	$7.4K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	40	$120	$5K
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…	60	$60	$3.5K
99494	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation whose conditions are not…	60	$50	$2.8K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Simon Fensterszaub	RI	Family Medicine Physician	$14.8M	$230.6K
Infinite Medical PC	RI	Family Medicine Physician	$0	$4.1M
Bluewater Emergency Partners Of Brunswick, LLC	ME	Emergency Medicine Physician	$0	$3.8M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Brattleboro Memorial Hospital	VT	General Acute Care Hospital	$0	$2.4M
Alla Shabtai	RI	Physician Assistant	$2.3M	$3.3K
Yosef Seewald	RI	Physician Assistant	$2.1M	$3.5K
Angelito Tan	NY	Neurology Physician	$1.4M	$675.6K
Racquel Volkowitz	NY	Physician Assistant	$2M	$0
Rekha Bhandari	NY	Internal Medicine Physician	$1.1M	$238.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlos G Otis Health Care Center Inc	VT	Rural Health Clinic/Center	$0	$6M
Jesper Brickley	VT	Family Medicine Physician	$95.8K	$0
Judith Tietz	VT	Psychiatry Physician	$32.3K	$52.7K

Alexandra Van Dyck — Billing Profile & Reimbursement Data

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Alexandra Van Dyck — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99439	1	10	1,010	$40	$36.8K
99309	14	60	140	$70	$12.6K
99214	500	960	90	$70	$10.6K
99493	1	10	90	$110	$10K
99490	1	10	20	$50	$9K
99310	18	30	50	$100	$7.8K
99492	1	10	60	$110	$7.3K
99213	542	910	80	$50	$6.7K
99306	1	30	30	$130	$5.6K
99494	1	10	60	$40	$2.8K