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.

Vermont Permanency Initiative, Inc. (NPI 1285971721)

Field	Value
Entity Type	Organization
Organization	Vermont Permanency Initiative, Inc.
Address	192 Fairview St
City	Bennington
State	VT
ZIP	05201
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	January 3, 2013

Payer Source	Total Paid
Medicaid	$27.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while Medicaid revenue totals $27.9M, indicating the organization’s operations are funded almost entirely by Medicaid rather than a mix of Medicare and Medicaid. The absence of Medicare activity limits comparisons at the national Medicare level and signals a focused service offering tied to state Medicaid programs.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, and a single code, H0019, alone represents the entire $27.9M in Medicaid billings. That concentration means nearly all top-line Medicaid revenue flows from one service line and one billing mechanism.

Operationally, the code mix points to a long‑term residential behavioral health model: H0019 is billed as "Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem," which aligns with the provider’s taxonomy as an Emotionally Disturbed Childrens' Residential Treatment Facility. The per‑diem nature of H0019 suggests daily residential care for children with significant behavioral health needs rather than short acute interventions.

Claims-level economics show high per-claim payments consistent with residential care: H0019 is recorded with 4.3K claims and an $6534 avg paid/claim that together comprise the $27.9M Medicaid total. These figures indicate the provider bills many per-diem residential days at a relatively high per-claim reimbursement level compared with typical outpatient codes.

Competitive standing in-state is strong on this specific service code: the provider ranks #1 of 6 providers in-state and is at the 100th percentile for H0019 revenue. However, the platform’s descriptor for this code is "typical, unremarkable volume," which implies that while this entity leads its small peer set numerically, its utilization pattern for H0019 is within the expected range for providers offering this service.

Concentration risk is material: reliance on a single Medicaid code (H0019) that accounts for 100.0% of Medicaid revenue means policy, rate, or eligibility changes to that per‑diem payment would directly and substantially affect the provider’s financial profile. Analysts should flag dependency on one revenue stream when evaluating sustainability and contract negotiations.

Tenure and stability: the provider’s NPI was enumerated on 2013-01-03 (~13 years ago), indicating it has been operating and billing Medicaid for over a decade. This longevity supports the interpretation that the current coding and payer mix represent an established business model rather than a transient billing pattern.

Because Medicaid is the sole payer on file, strategic or payer-mix assessments should focus on state Medicaid reimbursement practices, utilization controls, and competitive dynamics among the six in-state residential providers rather than Medicare trends. Any analysis of market share or growth should therefore use Medicaid per-diem policy and state-level placement/referral dynamics as the primary context.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	4,260	$6,530	$27.9M

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

Vermont Permanency Initiative, Inc. — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1	10	510	$4,230	$6.6M

Nearby Providers

Other providers in the same ZIP code as Vermont Permanency Initiative, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Counseling Service Of Bennington County, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$72.5M
Savida Health, PC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$12M
Sunrise Family Resource Center	VT	Social Worker	$0	$7M
Seall Inc	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$6.6M
United Counseling Service Of Bennington County, Inc.	VT	Clinic/Center	$0	$6M
Southwestern Vermont Medical Center Inc.	VT	General Acute Care Hospital	$0	$5.1M
Town Of Bennington Rescue Squad, Inc.	VT	Land Ambulance	$683.4K	$2.7M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Oral And Facial Surgery Associates,plc	VT	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
Brookside Pediatrics & Adolescent Medicine PLLC	VT	Pediatrics Physician	$0	$1.2M

Vermont Permanency Initiative, Inc. — Billing Profile & Reimbursement Data

Sign up for Vermont Permanency Initiative, Inc. — Billing Profile & Reimbursement Data policy alerts

Vermont Permanency Initiative, Inc. — Billing Profile & Reimbursement Data

Sign up for Vermont Permanency Initiative, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References