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.

Community Health Centers Of The Rutland Region, Inc. (NPI 1225400237)

Key Findings

Field	Value
Entity Type	Organization
Organization	Community Health Centers Of The Rutland Region, Inc.
Address	71 Allen Pond
City	Rutland
State	VT
ZIP	05701
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 29, 2015

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

This provider reports no Medicare billing on file and $4.3M in lifetime Medicaid revenue, making its recorded activity effectively single-payer Medicaid for the available dataset. The absence of Medicare claims indicates the organization’s measurable revenue stream in these records is concentrated entirely in Medicaid payments.

Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes account for 99.4% of the provider’s total Medicaid revenue. That concentration signals the organization’s financial exposure is dominated by a small set of bundled FQHC encounter codes rather than a diversified fee-for-service mix.

T1015 is the dominant driver of Medicaid income, representing 98.7% of the provider’s Medicaid revenue with $4.2M and 25.9K claims. As a clinic visit/encounter all-inclusive code typical for FQHCs, T1015’s dominance confirms this organization operates primarily under the bundled FQHC encounter model rather than itemized outpatient billing. The provider ranks #19 of 70 in-state (74th percentile) on T1015, indicating typical, unremarkable volume relative to peers.

The next two revenue contributors are G0467 (917 claims, $14 avg paid/claim, $14.7K revenue; 0.3% of Medicaid revenue; rank #26 of 49, 48th percentile) and G2025 (772 claims, $14 avg paid/claim, $10.8K revenue; 0.3% of Medicaid revenue; rank #5 of 26, 84th percentile). These codes together with T1015 make up the top-three revenue set, reinforcing an FQHC-centered service mix with a measurable telehealth component (G2025). Their modest dollars relative to T1015 indicate most reimbursement flows through the primary clinic encounter code rather than discrete service codes.

Behavioral health and psychiatric services show substantial claim volumes but very low per-claim Medicaid payments: for example, 90834 has 5.2K claims and $5.2K revenue, 90792 has 822 claims and $3.3K revenue, and 90837 has 678 claims and $2.7K revenue. This pattern suggests the clinic provides high utilization of psychotherapy and psychiatric evaluation within its care model but receives low Medicaid reimbursement per behavioral-health encounter, so these services contribute little to total dollars despite high activity.

On competitive standing for key codes, the provider is a mid-tier participant: its T1015 rank (#19 of 70, 74th percentile) places it above the median but not among the largest statewide FQHCs on that code, while G2025’s rank (#5 of 26, 84th percentile) indicates a relatively strong telehealth presence versus peers. Other codes mostly sit in typical percentiles (many described as typical, unremarkable volume), so the organization is not a dominant statewide payer-market player but shows pockets of stronger activity.

One notable statistical outlier by the supplied qualitative label is 90792 (psychiatric evaluation), which ranks #4 of 29 in-state at the 89th percentile and is described as notably above typical state volume. That elevated ranking for psychiatric evaluation suggests a comparative strength in diagnostic psychiatric work relative to other providers in Vermont, even though absolute dollars from that code remain small.

The provider’s NPI was enumerated on 2015-10-29 (~11 years ago), reflecting an established presence in the market. Coupled with its FQHC taxonomy and the heavy reliance on bundled encounter billing (T1015), the data are consistent with a long-standing community health center operating primarily under FQHC encounter reimbursement structures rather than diversified Medicare fee-for-service streams.

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
T1015	Clinic visit/encounter, all-inclusive	25,920	$160	$4.2M
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…	3,720	$1	$14.9K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	920	$20	$14.7K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	770	$10	$10.8K
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…	5,160	$1	$5.2K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	820	$1	$3.3K
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…	680	$1	$2.7K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	60	$20	$1.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	360	$1	$720
90832	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…	640	$0	$0

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

Community Health Centers Of The Rutland Region, Inc. — 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	19	70	11,650	$150	$3.3M
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…	74	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…	352	670	760	$70	$143.9K
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…	35	320	760	$20	$88.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	26	50	1,020	$20	$87.6K
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…	12	170	360	$20	$35.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	11	40	130	$40	$25.3K
90832	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…	40	110	260	$20	$19.5K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	7	10	110	$30	$15.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	14	90	60	$50	$9.4K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rutland Mental Health Services	VT	Developmental Disabilities Clinic/Center	$0	$122.1M
Rutland Mental Health Services, Inc.	VT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.7M
Rutland Hospital, Inc.	VT	Psychiatric Hospital Unit	$396.2K	$13.3M
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
Regional Home Care Inc	VT	Oxygen Equipment & Supplies (DME)	$0	$1.8M
Rutland Hospital, Inc	VT	Emergency Medicine Physician	$0	$1.8M
Forensic Consultation & Counseling Service	VT	Addiction (Substance Use Disorder) Counselor	$0	$1.6M
Vermont Sports Medicine Center	VT	Occupational Therapist	$0	$1.1M

Community Health Centers Of The Rutland Region, Inc. — Billing Profile & Reimbursement Data

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Community Health Centers Of The Rutland Region, 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Centers Of The Rutland Region Inc	VT	Federally Qualified Health Center (FQHC)	$0	$20.6M
Community Health Centers Of The Rutland Region, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$14.9M
Community Health Centers Of The Rutland Region, Inc.	VT	Pediatrics Physician	$0	$13.6M
Community Health Centers Of The Rutland Region, Inc.	VT	Dentist	$0	$4.4M
Community Health Centers Of The Rutland Region, Inc.	VT	Family Medicine Physician	$0	$4.3M
Community Health Centers Of The Rutland Region, Inc.	VT	Family Medicine Physician	$0	$3.8M
Counseling Associates Of New London PLLC	NH	Mental Health Counselor	$0	$3.7M
Community Health Centers Of The Rutland Region Inc	VT	Federally Qualified Health Center (FQHC)	$0	$3.2M
Community Health Centers Of The Rutland Region	VT	Pediatric Dentistry	$0	$1.6M
Community Health Centers Of The Rutland Region, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$1.1M