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.

Springfield Medical Care Systems Inc (NPI 1376835405)

Field	Value
Entity Type	Organization
Organization	Springfield Medical Care Systems Inc
Address	8 Main St
City	Ludlow
State	VT
ZIP	05149
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 9, 2011

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,670	$50	$425K
D2392	Post 2 surface resin‑based composite	1,880	$120	$231.4K
D0120	Periodic oral evaluation - established patient	8,660	$30	$216.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8,780	$20	$166.7K
D0274	N/A	4,030	$30	$117K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,440	$80	$108.2K
D0150	Comprehensive oral evaluation – new or established patient	2,350	$40	$101.2K
D0140	Limited oral evaluation – problem focused	2,250	$40	$87.7K
D1120	Prophylaxis–child	2,640	$30	$87K
D2391	Resin‑based composite – one surface, posterior	910	$80	$76.1K

Showing 1–10 of 23

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

Springfield Medical Care Systems Inc — 1 of 22 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	63	70	11,650	$150	$3.3M
D2392	Post 2 surface resin‑based composite	12	60	610	$130	$155.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11	50	400	$80	$101.1K
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…	230	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…	28	50	1,020	$20	$87.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6	150	540	$50	$73.5K
D1351	Sealant - per tooth	31	40	480	$20	$63.9K
D2391	Resin‑based composite – one surface, posterior	15	50	310	$90	$62.9K
D1120	Prophylaxis–child	21	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	11	160	720	$30	$57.8K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Springfield Medical Care Systems Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$13.3M
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$7.8M
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$3.6M
Springfield Medical Care Systems Inc	NH	Federally Qualified Health Center (FQHC)	$0	$3.1M
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$1.8M
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$683.8K
Springfield Medical Care Systems Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$365.8K
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$204.8K
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$142.8K
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$135.6K

Nearby Providers

Other providers in the same ZIP code as Springfield Medical Care Systems Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Ambulance Service	VT	Land Ambulance	$102.7K	$64.8K
Daniel Oakes	VT	General Practice Dentistry	$0	$71.3K

Springfield Medical Care Systems Inc — Billing Profile & Reimbursement Data

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Springfield Medical Care Systems 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

Related Providers

Nearby Providers

Frequently Asked Questions

References