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.

Karen Towle (NPI 1407857808)

Field	Value
Entity Type	Individual
Organization	Karen Towle
Address	382 Main St
City	Enosburg Falls
State	VT
ZIP	05450
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 9, 2005

Payer Source	Total Paid
Medicare	$12.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	40	$130	$5.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	380	$10	$3K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	50	$40	$1.8K
0124A	N/A	30	$40	$1.1K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	20	$40	$630
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	40	$10	$430
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	70	$1	$150
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	10	$1	$50

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Karen Towle — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	30	60	40	$130	$18.1K
90480	76	110	130	$40	$7.8K
0124A	43	80	30	$40	$1.6K
36415	11	160	100	$10	$1.3K
G0180	34	60	20	$40	$790
83036	118	230	40	$10	$520
93005	38	50	20	$1	$110
81003	7	140	20	$1	$70

Related Providers

Other providers that share a Tax Identification Number (TIN) with Karen Towle, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Richford Health Center Inc	VT	Legal Medicine	$0	$12.2M
The Richford Health Center Inc	VT	General Practice Dentistry	$0	$1.5M
The Richford Health Center Inc.	VT	General Practice Dentistry	$0	$1.4M
The Richford Health Center Inc	VT	Legal Medicine	$0	$262.2K
Harris Strokoff	VT	Psychiatry Physician	$18.3K	$174.2K
Meghrajsinh Atodaria	VT	Dentist	$0	$84.2K
The Richford Health Center Inc	VT	Family Medicine Physician	$0	$77.1K
The Richford Health Center Inc	VT	Family Medicine Physician	$0	$51K
Meghan Clack	VT	Adult Health Nurse Practitioner	$34.2K	$0
Audrey Vonlepel	VT	Internal Medicine Physician	$28.4K	$0

Nearby Providers

Other providers in the same ZIP code as Karen Towle, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwestern Medical Center, Inc.	VT	Pediatrics Physician	$0	$596.5K
Town Of Enosburgh	VT	Land Ambulance	$221K	$368.7K
Cold Hollow Family Practice, PC	VT	Family Medicine Physician	$0	$345.2K
Lorne Babb	VT	Family Medicine Physician	$98.7K	$0
Olivia Laporte	VT	Clinical Social Worker	$22.3K	$48.8K
Ronald Debruin	VT	General Practice Dentistry	$0	$60.1K

Karen Towle — Billing Profile & Reimbursement Data

Sign up for Karen Towle — Billing Profile & Reimbursement Data policy alerts

Karen Towle — Billing Profile & Reimbursement Data

Sign up for Karen Towle — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References