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.

United Counseling Service Of Bennington County, Inc. (NPI 1366579112)

Field	Value
Entity Type	Organization
Organization	United Counseling Service Of Bennington County, Inc.
Address	100 Ledgehill Rd
City	Bennington
State	VT
ZIP	05201
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$72.5M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused provider: total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $72.5M, so its financial footprint in the datasets is driven entirely by Medicaid activity. The provider’s NPI was enumerated on 2007-02-28 (~19 years ago), indicating nearly two decades of presence in the market and that the observed billing patterns reflect an established operation rather than a new entrant.

Revenue concentration is extremely high: the top-3 Medicaid codes precomputed for this provider account for 100.0% of its Medicaid revenue, with 99199 accounting for 69.3% and H2022 accounting for 30.7%. That concentration means overall revenue performance is sensitive to reimbursement or policy changes affecting just these codes, since together they are the sole drivers of the $72.5M reported Medicaid revenue.

The code 99199 (other medicine services or procedures) is the single largest revenue driver by dollar amount: 9.7K claims produced $50.3M revenue with a very large $5186 avg paid/claim. 99199 ranks #7 of 16 in-state (60th percentile; typical, unremarkable volume for this code), so although it is the provider’s dominant revenue source, the provider is a mid-level performer for this billing category within the state.

H2022 (Community-based wrap-around services, per diem) represents the provider’s other primary revenue stream: 175.2K claims, $127 avg paid/claim, and $22.3M revenue. H2022 ranks #2 of 14 in-state (92th percentile; typical, unremarkable volume for this code), which positions the provider as a leading state-level participant for community-based wrap-around services despite the dataset’s label of “typical” volume.

Operational implications from the code mix: the combination of a high-dollar, catch‑all code (99199) and a high-volume per-diem community wrap code (H2022) suggests the provider operates both intensive individualized services that are billed under an other‑services code and large-scale community wraparound programs paid per diem. This pattern is consistent with a developmental-disabilities clinic/center that bills both episodic high‑value services and ongoing community supports.

Competitive standing is mixed by code: for H2022 the provider is a major in-state participant (rank #2 of 14, 92th percentile), while for 99199 it is a modest, mid-tier competitor (rank #7 of 16, 60th percentile). Stakeholders should read these ranks as service-line specific—dominant in wrap-around per diem delivery but not dominant for other‑medicine service billing within Vermont.

Several additional Medicaid procedure codes show material claim counts but report $0 avg paid/claim and $0 revenue (examples include S5140: 56K claims; T2021: 21.6K claims; T1016: 20.4K claims). These entries indicate the provider submits or is associated with broad service activity across residential, habilitation, and case‑management categories, but those particular codes did not contribute to paid Medicaid revenue in the reported data window.

Because the top two codes (99199 and H2022) together make up the entirety of reported Medicaid revenue, payer or policy changes that affect either high‑dollar allowed amounts for 99199 or per‑diem rates for H2022 would have an outsized impact on the provider’s financials. Analysts evaluating network risk or contracting should prioritize these two codes when modeling revenue sensitivity or negotiating rates.

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
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	9,700	$5,190	$50.3M
H2022	Community-based wrap-around services, per diem	175,230	$130	$22.3M
H2025	Ongoing support to maintain employment, per 15 minutes	9,150	$0	$0
S5150	Unskilled respite care, not hospice; per 15 minutes	30,500	$0	$0
T1016	Case management, each 15 minutes	20,440	$0	$0
H2032	Activity therapy, per 15 minutes	3,480	$0	$0
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	10,340	$0	$0
S5140	Foster care, adult; per diem	55,960	$0	$0
S5151	Unskilled respite care, not hospice; per diem	4,550	$0	$0
T2016	Habilitation, residential, waiver; per diem	1,740	$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

United Counseling Service Of Bennington County, Inc. — 0 of 2 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
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	7	20	6,570	$6,270	$59.7M
H2022	Community-based wrap-around services, per diem	2	10	18,970	$620	$35.6M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	4	10	16,040	$90	$1.5M
T1016	Case management, each 15 minutes	11	40	3,900	$1	$31.1K
T2021	Day habilitation, waiver; per 15 minutes	9	10	28,170	$1	$210
H2025	Ongoing support to maintain employment, per 15 minutes	8	20	3,440	$0	$0
S5150	Unskilled respite care, not hospice; per 15 minutes	6	10	27,240	$0	$0
H2032	Activity therapy, per 15 minutes	2	10	1,060	$0	$0
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	2	10	8,410	$0	$0
S5140	Foster care, adult; per diem	7	10	60,820	$0	$0

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as United Counseling Service Of Bennington County, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vermont Permanency Initiative, Inc.	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$27.9M
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

United Counseling Service Of Bennington County, Inc. — Billing Profile & Reimbursement Data

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United Counseling Service Of Bennington County, 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

Nearby Providers

Frequently Asked Questions

References