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.

Lamoille County Mental Health Services (NPI 1396891842)

Field	Value
Entity Type	Organization
Organization	Lamoille County Mental Health Services
Address	72 Harrel St
City	Morrisville
State	VT
ZIP	05661
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$22.2M
Medicare	$0

Key Findings

LAMOILLE COUNTY MENTAL HEALTH SERVICES is effectively a Medicaid-focused community behavioral health agency with no Medicare billing on file and $22.2M in lifetime Medicaid revenue; the absence of Medicare revenue means analyses of its payer mix should treat it as essentially single-payer (Medicaid) for the claims and revenue shown.

Revenue is highly concentrated in a small set of service codes: the precomputed top three Medicaid codes account for 93.2% of the provider's total Medicaid revenue, indicating that a few service lines (H2015, H2017, and H0023) drive nearly all billed Medicaid dollars.

The top two codes, H2015 and H2017, together make up the majority of Medicaid revenue with $9.6M (43.1%) and $9M (40.5%) respectively; these codes represent Comprehensive community support services and Psychosocial rehabilitation services delivered in frequent 15-minute units, suggesting the provider operates a high-volume community-based rehabilitation and support model rather than an outpatient medical clinic.

H0023 contributes $2.1M (9.5%) of Medicaid revenue and is reported as Behavioral health outreach service; its material share behind the two 15-minute rehabilitative codes indicates a structured outreach and engagement program that complements in‑center psychosocial rehabilitation and community support.

Competitive standing by code is mixed: for H2017 the provider ranks #5 of 28 in-state at the 85th percentile, indicating a stronger-than-typical statewide presence for psychosocial rehabilitation services, while for H2015 it ranks #8 of 19 at the 61th percentile, showing more typical volume for comprehensive community support.

Several other billed codes show noteworthy positioning despite small revenue impact: 90834 (psychotherapy, 38–52 minutes) has 9K claims and ranks #7 of 165 providers in-state (96th percentile), described as notably above typical state volume, which suggests the provider delivers a high count of psychotherapy encounters even though these represent only 0.5% of its Medicaid revenue due to low per-claim payments.

Operational tenure is long-standing: the NPI was enumerated on 2007-01-26 (about 19 years ago), which supports the interpretation that the organization is an established local behavioral health provider with mature service lines tied to Medicaid-funded community supports.

Several service lines report many claims but $0 average paid/claim in the supplied data (for example T2016, 90837, G2012), which may reflect state reimbursement reporting, bundled payments, or non-fee-for-service funding streams; these zero-paid items should be flagged for follow-up when reconciling service volumes against actual revenue.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	81,740	$120	$9.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	69,640	$130	$9M
H0023	Alcohol and/or drug outreach	2,770	$760	$2.1M
H0046	Mental health services, not otherwise specified	140	$6,780	$943K
T2022	Case management, per month	1,560	$210	$326.8K
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…	8,960	$10	$116.5K
H2011	Crisis intervention service, per 15 minutes	2,070	$20	$45.5K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	800	$50	$37.7K
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…	2,810	$10	$25.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	630	$20	$14.5K

Showing 1–10 of 26

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

Lamoille County Mental Health Services — 1 of 12 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0023	Alcohol and/or drug outreach	8	10	6,170	$900	$8.7M
H2015	Comprehensive community support services, per 15 minutes	8	20	64,230	$90	$7.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	5	30	6,730	$110	$4.1M
H0046	Mental health services, not otherwise specified	11	10	330	$1,360	$3.1M
T2022	Case management, per month	5	10	4,290	$210	$745.2K
H2014	Skills training and development, per 15 minutes	14	10	7,770	$60	$599.6K
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…	88	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…	231	670	760	$70	$143.9K
T1017	Targeted case management, each 15 minutes	18	20	1,580	$30	$102.9K
H2011	Crisis intervention service, per 15 minutes	10	20	1,680	$20	$96.2K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lamoille County Mental Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harris Strokoff	VT	Psychiatry Physician	$18.3K	$174.2K
Rebecca Brooklyn	VT	Psychiatric/Mental Health Nurse Practitioner	$21.7K	$96.5K
Meghan Bickerstaff	VT	Mental Health Counselor	$0	$53.7K

Nearby Providers

Other providers in the same ZIP code as Lamoille County Mental Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lamoille County Health Mental Health Services	VT	Community/Behavioral Health Agency	$0	$42.7M
Green Mountain Support Services Inc.	VT	Case Manager/Care Coordinator	$0	$25.9M
Lamoille Health Partners, Inc	VT	Cognitive & Behavioral Psychologist	$0	$10.5M
Lamoille Health Partners, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$5.4M
Lamoille Family Center Inc	VT	Public Health or Welfare Agency	$0	$5.2M
Lamoille Health Partners, Inc	VT	Pediatrics Physician	$0	$4.6M
Lamoille Health Partners, Inc	VT	Dentist	$0	$1.7M
Maple Leaf Family Dentistry	VT	General Practice Dentistry	$0	$1.2M
Tamarack Family Medicine	VT	Clinic/Center	$0	$1.1M
Copley Hospital, Inc.	VT	Critical Access Hospital	$0	$525.5K

Lamoille County Mental Health Services — Billing Profile & Reimbursement Data

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Lamoille County Mental Health Services — 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