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.

Benjamin Physical Medicine, Plc (NPI 1376075804)

Field	Value
Entity Type	Organization
Organization	Benjamin Physical Medicine, Plc
Address	373 Blair Park Rd
City	Williston
State	VT
ZIP	05495
Taxonomy	Medical Specialty Clinic/Center
NPI Enumerated	April 3, 2017

Payer Source	Total Paid
Medicaid	$307.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0586	Injection, abobotulinumtoxina, 5 units	350	$660	$230.3K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	440	$70	$29.7K
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…	670	$40	$28K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	230	$50	$10.6K
95874	In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…	290	$30	$8.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	40	$20	$820

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

Benjamin Physical Medicine, Plc — 2 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0586	Injection, abobotulinumtoxina, 5 units	1	10	350	$660	$230.2K
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…	165	320	760	$20	$88.2K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	1	10	240	$60	$15.1K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	1	10	230	$50	$10.6K
95874	In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…	1	10	250	$20	$4.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	81	110	150	$10	$4.6K

Nearby Providers

Other providers in the same ZIP code as Benjamin Physical Medicine, Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Care Health Partners - Vermont LLP	VT	Family Medicine Physician	$0	$2.8M
Brian Ashley, Ma, Plc	VT	Psychologist	$0	$1M
Healthdirect Institutional Pharmacy Services, Inc.	VT	Long Term Care Pharmacy	$411.2K	$503.7K
Evergreen Family Health Partners	VT	Family Medicine Physician	$0	$626.1K
Town Of Williston	VT	Ambulance	$160.7K	$234.6K
Lisa Angstman	VT	Clinical Psychologist	$116.1K	$261.4K
Thomas Chittenden Health Center, Plc	VT	Family Medicine Physician	$0	$288.9K
Beth Morelli	VT	Mental Health Counselor	$0	$288.7K
Sawyer Lecompte	VT	Mental Health Counselor	$0	$284.7K
Kathleen Kelley	VT	Mental Health Counselor	$0	$242.3K

Benjamin Physical Medicine, Plc — Billing Profile & Reimbursement Data

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Benjamin Physical Medicine, Plc — 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