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 1336193838)

Key Findings

Field	Value
Entity Type	Organization
Organization	Community Health Centers Of The Rutland Region, Inc.
Address	275 Route 30 N
City	Bomoseen
State	VT
ZIP	05732
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

This provider effectively operates as a Medicaid-centric FQHC: lifetime Medicare revenue is listed as none while total Medicaid revenue is $14.9M, so all documented billed revenue in these datasets is Medicaid-based. The absence of Medicare billing on file indicates the provider is functionally single-payer in this dataset rather than balanced across Medicare and Medicaid.

Revenue is extremely concentrated in a very small set of procedure codes: the precomputed top-3 Medicaid codes account for 97.0% of this provider's total Medicaid revenue, with T1015 alone representing $13.7M or 91.9% of Medicaid revenue. That level of concentration creates exposure to any reimbursement, coding, or policy changes affecting T1015 and the bundled clinic/encounter payment model.

The code mix and taxonomy align with a classic FQHC operating model: T1015 (clinic visit/encounter, all-inclusive) dominance plus visible FQHC-specific codes such as G0467 and G0470 suggests the provider bills per-encounter bundled visits typical of federally qualified health centers and is delivering broad primary-care–oriented services. This pattern implies daily operations are driven by high-volume, face-to-face clinic encounters bundled under FQHC payment logic rather than fee-for-service specialty procedures.

COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. is a major statewide player for core clinic-visit billing: T1015 ranks #3 of 70 providers in-state (97th percentile) and is described as notably above typical state volume for this code. That ranking, combined with the large absolute revenue tied to T1015, positions the center as one of Vermont's leading FQHCs by visit volume and Medicaid clinic revenue.

The practice also shows unusually high lab testing volume for multiplex respiratory diagnostics: 87637 produced $544.7K in revenue (3.6% of Medicaid revenue) and ranks #1 of 9 providers in-state (100th percentile), noted as notably above typical state volume. This suggests on-site or closely partnered lab capacity for multiplex SARS–CoV–2/flu/RSV testing and a significant operational emphasis on respiratory infectious-disease testing during the measurement window.

Evaluation-and-management billing is very high-volume but low-revenue per claim: 99214 appears with 30K claims at $7 avg paid/claim ($210K revenue) and ranks #10 of 323 providers in-state (97th percentile), while 99213 appears with 43.4K claims at $2 avg paid/claim ($86.8K revenue) and ranks #7 of 319 providers in-state (98th percentile, labeled an extreme outlier). These data point to very high visit throughput and low Medicaid per-visit payments, consistent with a high-volume primary care practice serving Medicaid patients.

Beyond the dominant visit and lab codes, the provider offers ancillary services that comprise small revenue shares — examples include immunizations (90460, $20.6K), psychotherapy (90834, $19.1K), and telehealth furnished by an FQHC/RHC (G2025, $3.8K). These secondary code lines indicate clinical breadth (preventive care, behavioral health, telehealth) that supplements the core T1015-driven clinic workload but does not materially diversify revenue away from the visit bundle.

The provider has an established presence in the data: NPI enumerated 2006-05-19 (~20 years ago), indicating longevity as an FQHC in the community. Given that tenure and the concentrated reliance on T1015 (91.9% of Medicaid revenue) and the top-3 codes (97.0% of Medicaid revenue), payers and network planners should view this entity as a long-standing, high-volume Medicaid provider with concentrated revenue risk tied to FQHC visit reimbursement policies.

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	83,250	$170	$13.7M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	4,320	$130	$544.7K
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…	30,000	$10	$210K
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…	11,550	$20	$184.8K
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…	43,420	$1	$86.8K
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…	770	$70	$56.1K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	4,120	$10	$20.6K
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…	3,830	$10	$19.1K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	1,040	$20	$15.6K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	730	$10	$10.2K

Showing 1–10 of 52

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. — 5 of 25 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

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	3	70	11,650	$150	$3.3M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	1	10	160	$120	$149.2K
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…	10	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…	391	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…	7	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…	3	50	1,020	$20	$87.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	36	110	170	$70	$38.6K
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…	16	170	360	$20	$35.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	7	40	890	$10	$32.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12	40	170	$40	$31.6K

Showing 1–10 of 52

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kph Healthcare Services, Inc.	VT	Community/Retail Pharmacy	$100.2K	$320
Megan Greenleaf	VT	Internal Medicine Physician	$75.3K	$0
Jessica Lindert	VT	Psychiatric/Mental Health Nurse Practitioner	$64K	$0
Bradley Berryhill	VT	Family Medicine Physician	$39.7K	$0
Julie Foster	VT	Family Medicine Physician	$3.5K	$0
Katelyn Belden	VT	Medical Physician Assistant	$2.2K	$0
Stephen Kornbluth	VT	Family Medicine Physician	$1.2K	$0

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	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	Federally Qualified Health Center (FQHC)	$0	$4.3M
Community Health Centers Of The Rutland Region, Inc.	VT	Family Medicine Physician	$0	$3.8M
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
Jennifer Hanson	VT	Family Medicine Physician	$105.5K	$0