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.

Rutland Mental Health Services, Inc. (NPI 1164417283)

Field	Value
Entity Type	Organization
Organization	Rutland Mental Health Services, Inc.
Address	78 S Main St
City	Rutland
State	VT
ZIP	05701
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 14, 2005

Payer Source	Total Paid
Medicaid	$17.7M
Medicare	$0

Key Findings

RUTLAND MENTAL HEALTH SERVICES presents as a community behavioral health organization: its largest billings are for H0023 (behavioral health outreach), H2017 (psychosocial rehabilitation), and T2022 (case management), which together drive programmatic, time-intensive community support rather than episodic medical visits. The mix of outreach, rehab, and case-management codes indicates operations centered on sustained community-based treatment, rehabilitation services, and coordinated care for high-need patients rather than office-based primary care or procedure-driven revenue.

Revenue is highly concentrated: the provider reports $17.7M in total Medicaid revenue and the top 3 Medicaid codes by revenue account for 73.5% of that total. In particular, H0023 alone generates $9M (50.5% of Medicaid revenue), making outreach encounters the single largest revenue driver for the organization.

This entity is effectively single-payer at present: there is no Medicare billing on file while Medicaid revenue is $17.7M, so payer exposure and financial performance are concentrated entirely in the Medicaid program. That concentration increases operational dependence on state Medicaid policy and reimbursement for behavioral health and social-support services.

Competitive standing across its top codes is mixed within Vermont. For the high-revenue outreach code H0023 the provider ranks #4 of 10 (67th percentile) with a "typical, unremarkable volume" for that code, and H2017 ranks #10 of 28 (67th percentile) also labeled "typical, unremarkable volume," but the provider is state leader on monthly case management T2022 (rank #1 of 6, 100th percentile) even though that rank is described as "typical, unremarkable volume" in the benchmark notes.

There are notable above-typical volumes in specific service lines: H0015 (intensive outpatient substance-use treatment) generates $1.1M and ranks #1 of 10 (100th percentile) with the benchmark label "notably above typical state volume for this code," and psychotherapy code 90837 appears $133.2K and ranks #22 of 666 (97th percentile) also labeled "notably above typical state volume." These signals suggest the provider is a prominent in-state deliverer of intensive outpatient SUD services and longer psychotherapy sessions relative to peers.

Beyond the top three, the provider bills substantial minutes-based rehabilitative services: H2017 shows 44.3K claims ($2.7M, 15.0%) and H2015 shows 111.6K claims ($1.3M, 7.6%), indicating high-volume, short-interval units-of-service typical of psychosocial rehabilitation and community support programs. Crisis-intervention and assertive community treatment are also present at meaningful volumes (H2011: 14.8K claims, $413.2K; H0040: 230 claims, $90.6K), pointing to a continuum of outpatient-to-intensive community offerings.

Operationally, the dominance of H0023 (10.4K claims, $863 avg paid/claim) implies substantial investment in planned outreach activities and high-reimbursement episodic encounters; sustaining $9M from outreach suggests outreach teams, engagement workflows, and referral coordination are core operational functions. At the same time, large claims counts for minutes-based codes (H2017, H2015) reflect an operational model that relies on high encounter frequency and time-based billing.

The organization has long tenure in Medicaid networks: the NPI was enumerated on 2005-09-14 (~21 years ago), and sustained Medicaid receipts of $17.7M reflect an established presence in Vermont’s behavioral health ecosystem. That longevity combined with leadership positions on several in-state rankings supports a profile of a stable, program-focused community mental health provider rather than a new or marginal entrant.

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0023	Alcohol and/or drug outreach	10,370	$860	$9M
H2017	Psychosocial rehabilitation services, per 15 minutes	44,340	$60	$2.7M
T2022	Case management, per month	6,400	$220	$1.4M
H2015	Comprehensive community support services, per 15 minutes	111,570	$10	$1.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	10,090	$110	$1.1M
H0005	Alcohol and/or drug services; group counseling by a clinician	9,300	$70	$623.2K
H2011	Crisis intervention service, per 15 minutes	14,760	$30	$413.2K
T1017	Targeted case management, each 15 minutes	6,120	$40	$238.8K
T1016	Case management, each 15 minutes	7,740	$20	$154.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,170	$70	$147.5K

Showing 1–10 of 32

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

Rutland Mental Health Services, Inc. — 3 of 25 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	14	10	18,970	$620	$35.6M
H0023	Alcohol and/or drug outreach	4	10	6,170	$900	$8.7M
H2015	Comprehensive community support services, per 15 minutes	4	20	64,230	$90	$7.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	10	30	6,730	$110	$4.1M
H0046	Mental health services, not otherwise specified	9	10	330	$1,360	$3.1M
T2022	Case management, per month	1	10	4,290	$210	$745.2K
H2014	Skills training and development, per 15 minutes	3	10	7,770	$60	$599.6K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1	10	660	$120	$303.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	6	20	1,410	$80	$247.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	2	10	630	$60	$243.1K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rutland Mental Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rutland Mental Health Services	VT	Developmental Disabilities Clinic/Center	$0	$122.1M
Lorene Zeif	VT	Community Health Worker	$0	$112.4K
Judith Tietz	VT	Psychiatry Physician	$32.3K	$52.7K
Susan Taggart	VT	Clinical Social Worker	$0	$76.5K
Alecia Armstrong	VT	Mental Health Counselor	$0	$66.5K

Nearby Providers

Other providers in the same ZIP code as Rutland Mental Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Centers Of The Rutland Region Inc	VT	Federally Qualified Health Center (FQHC)	$0	$20.6M
Rutland Hospital, Inc.	VT	Psychiatric Hospital Unit	$396.2K	$13.3M
Community Health Centers Of The Rutland Region, Inc.	VT	Pediatrics Physician	$0	$13.6M
Regional Ambulance Service, Inc	VT	Land Ambulance	$1.4M	$5.3M
Vna & Hospice Of The Southwest Region, Inc	VT	Home Health Agency	$0	$4.8M
Bradford Psychiatric Associates. LLC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$4.7M
Community Health Centers Of The Rutland Region, Inc.	VT	Dentist	$0	$4.4M
Community Health Centers Of The Rutland Region, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$4.3M
Community Health Centers Of The Rutland Region Inc	VT	Federally Qualified Health Center (FQHC)	$0	$3.2M
Regional Home Care Inc	VT	Oxygen Equipment & Supplies (DME)	$0	$1.8M

Rutland Mental Health Services, Inc. — Billing Profile & Reimbursement Data

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Rutland Mental Health Services, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References