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.

Richford Health Center, Inc. (NPI 1265420913)

Field	Value
Entity Type	Organization
Organization	Richford Health Center, Inc.
Address	44 Main St
City	Richford
State	VT
ZIP	05476
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	October 7, 2005

Payer Source	Total Paid
Medicaid	$48.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	460	$40	$16.5K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	400	$30	$12.1K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	370	$30	$10.8K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	480	$20	$8.6K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	20	$1	$20

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

Richford Health Center, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	4	10	310	$60	$39.1K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	4	10	320	$40	$35K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	4	10	350	$30	$23.9K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	3	10	130	$70	$15.8K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	22	30	50	$1	$220

Nearby Providers

Other providers in the same ZIP code as Richford Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Richford Health Center Inc	VT	Legal Medicine	$0	$12.2M
The Richford Health Center Inc.	VT	General Practice Dentistry	$0	$1.4M
Town Of Richford	VT	Ambulance	$103.2K	$218K
Meghrajsinh Atodaria	VT	Dentist	$0	$84.2K
Erick Lavallee	VT	Family Medicine Physician	$25.2K	$0
Sarah Mutar	VT	Adult Health Nurse Practitioner	$22.1K	$0
Nathaniel Burns	VT	Physician Assistant	$4.3K	$0

Richford Health Center, Inc. — Billing Profile & Reimbursement Data

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Richford Health Center, 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