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.

Northeast Washington County Community Health Inc (NPI 1245444397)

Field	Value
Entity Type	Organization
Organization	Northeast Washington County Community Health Inc
Address	157 Towne Ave
City	Plainfield
State	VT
ZIP	05667
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 9, 2007

Payer Source	Total Paid
Medicaid	$53.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9001	Coordinated care fee, initial rate	1,050	$40	$40K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	380	$20	$6.1K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	330	$10	$1.9K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	110	$20	$1.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	120	$10	$1.4K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	40	$40	$1.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	220	$1	$660
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	20	$10	$140
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	20	$10	$110

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

Northeast Washington County Community Health 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	16	20	670	$10	$18.1K
G9001	Coordinated care fee, initial rate	6	20	230	$20	$15.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	42	90	330	$10	$10K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	19	20	1,130	$1	$8.6K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	7	10	110	$10	$4.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	37	80	190	$1	$3.7K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	5	10	70	$30	$2.3K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	43	90	320	$1	$690
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	9	10	190	$1	$490

Nearby Providers

Other providers in the same ZIP code as Northeast Washington County Community Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Washington County Community Health Inc	VT	Dentist	$0	$5.8M
Northeast Washington County Community Health, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$5.3M
Tina Desmarais	VT	Mental Health Counselor	$0	$514.3K
Elisha Mclam	VT	Family Medicine Physician	$13.4K	$0
Barry Ryan	VT	Family Medicine Physician	$10.7K	$0
Margery Bower	VT	Medical Physician Assistant	$9.9K	$0
Emma Kopecky	VT	Adult Health Nurse Practitioner	$7.1K	$0
John Matthew	VT	Internal Medicine Physician	$7.1K	$0
Jessica Fisch	VT	Medical Physician Assistant	$4K	$0
Sara Bylow	VT	Medical Physician Assistant	$3.2K	$0

Northeast Washington County Community Health Inc — Billing Profile & Reimbursement Data

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Northeast Washington County Community Health Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References