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.

Schramm And Symancyk, PLLC (NPI 1174533327)

Field	Value
Entity Type	Organization
Organization	Schramm And Symancyk, PLLC
Address	1049 North Hartland Road
City	White River Junction
State	VT
ZIP	05001
Taxonomy	General Practice Dentistry
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicaid	$290K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,880	$50	$98K
D0120	Periodic oral evaluation - established patient	2,710	$30	$73.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,600	$20	$54.6K
D0274	N/A	1,000	$30	$32.1K
D1120	Prophylaxis–child	680	$30	$21K
D0330	N/A	90	$60	$5.1K
D1351	Sealant - per tooth	70	$30	$2.2K
D2392	Post 2 surface resin‑based composite	20	$120	$2.1K
D0150	Comprehensive oral evaluation – new or established patient	50	$40	$1.8K
D1330	N/A	20	$0	$0

Showing 1–10 of 11

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

Schramm And Symancyk, PLLC — 0 of 9 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	59	60	610	$130	$155.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	34	150	540	$50	$73.5K
D1351	Sealant - per tooth	32	40	480	$20	$63.9K
D1120	Prophylaxis–child	37	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	30	160	720	$30	$57.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	28	120	500	$20	$53.5K
D0330	N/A	46	70	330	$60	$43.8K
D0150	Comprehensive oral evaluation – new or established patient	62	80	330	$40	$38.9K
D0274	N/A	26	100	250	$30	$31.1K
D1330	N/A	20	20	170	$20	$9K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Schramm And Symancyk, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Town Of Hartford	VT	Ambulance	$171.8K	$275.8K
Kimberley Hartell	VT	Marriage & Family Therapist	$0	$229.8K
Dartmouth Health Home Care, Inc.	VT	Home Health Agency	$0	$219.8K
Donald Anderson	VT	Chiropractor	$35.2K	$100.4K
White River Family Practice PC	VT	Family Medicine Physician	$0	$130.6K
White River Family Eyecare, PC	VT	Optometrist	$0	$126K
Gifford Health Care, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$111.2K
Richard Graham	VT	Urology Physician	$94.8K	$0
Julie Davis	VT	Family Medicine Physician	$92.7K	$0
Jill Blumberg	VT	Family Medicine Physician	$77K	$0

Schramm And Symancyk, PLLC — Billing Profile & Reimbursement Data

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Schramm And Symancyk, PLLC — Billing Profile & Reimbursement Data

Sign up for Schramm And Symancyk, PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References