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.

State Of Vermont (NPI 1215151410)

Field	Value
Entity Type	Organization
Organization	State Of Vermont
Address	359 S Park Dr
City	Colchester
State	VT
ZIP	05446
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	April 12, 2007

Payer Source	Total Paid
Medicaid	$439.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	4,540	$70	$313.1K
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	8,710	$10	$78.4K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	520	$50	$26.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	380	$40	$13.5K
86480	The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.	40	$50	$2K
86703	The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for antibodies to HIV 1 or HIV 2. This code applies to a single result for either antibody.	160	$10	$1.8K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	130	$10	$1.4K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	60	$10	$650
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	60	$10	$650
86592	The lab analyst performs a test to detect the presence of syphilis–related antibodies in patient specimens using antigen tests such as rapid plasma reagin, called RPR; automated reagin test, called…	140	$1	$410

Showing 1–10 of 13

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

State Of Vermont — 1 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	4	10	80	$30	$98.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	4	10	60	$30	$85.4K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	2	10	240	$60	$81.2K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	1	10	520	$50	$26.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	8	20	180	$40	$15.6K
86703	The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for antibodies to HIV 1 or HIV 2. This code applies to a single result for either antibody.	2	10	160	$10	$6.9K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	2	10	100	$60	$6.4K
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	1	10	50	$10	$6.2K
86480	The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.	1	10	40	$50	$2K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	4	10	140	$10	$1.5K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with State Of Vermont, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tracy Ulrich	VT	Mental Health Counselor	$0	$687.6K
Sylvia Bedor	VT	Addiction (Substance Use Disorder) Counselor	$0	$249.1K

Nearby Providers

Other providers in the same ZIP code as State Of Vermont, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Of Northern New England, Inc	VT	Obstetrics & Gynecology Physician	$0	$3.9M
Vt Center For Dental Implants And Maxillofacial Surgery LLC	VT	Oral and Maxillofacial Surgery Clinic/Center	$0	$2.6M
Kids Rehabgym Inc.	VT	Physical Therapy Clinic/Center	$0	$2.5M
Saint Michaels College Fire And Rescue Inc	VT	Land Ambulance	$281.9K	$1.5M
Dennis Sanders	VT	Medical Oncology Physician	$1.3M	$0
Robert Duwors	VT	Clinical Psychologist	$45K	$1.1M
Town Of Colchester	VT	Land Ambulance	$163.6K	$638.6K
Vermont Center For Responder Wellness LLC	VT	Clinical Social Worker	$0	$719.1K
Actd,llc	VT	Ambulatory Surgical Clinic/Center	$634.9K	$0
Counseling Connection Training Institute, Plc	VT	Mental Health Counselor	$0	$619.8K

State Of Vermont — Billing Profile & Reimbursement Data

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State Of Vermont — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References