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NPI 1427104132 · Bennington, VT · Clinic/Center
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United Counseling Service Of Bennington County, Inc. is a clinic/center provider located in Bennington, Vermont. This profile covers 0 Medicare and 27 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | United Counseling Service Of Bennington County, Inc. |
| Address | 100 Ledgehill Rd |
| City | Bennington |
| State | VT |
| ZIP | 05201 |
| Taxonomy | Clinic/Center |
| NPI Enumerated | January 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6M |
| Medicare | $0 |
This provider is effectively a Medicaid-only reporter: there is no Medicare billing on file and total Medicaid revenue is $6M. The NPI was enumerated 2007-01-26 (~19 years ago), indicating an established clinic/center presence in Bennington, VT.
Revenue is highly concentrated in three codes: H0023 ($2.9M, 48.4%), H2017 ($1.5M, 25.3%), and H2015 ($618.7K, 10.3%), which together account for 84.0% of the provider’s total Medicaid revenue. This concentration means a small set of service lines drives the overwhelming majority of reported Medicaid income.
The top codes point to a community-based behavioral health model: H0023 is behavioral health outreach, H2017 is psychosocial rehabilitation billed per 15 minutes, and H2015 is comprehensive community support billed per 15 minutes. This mix suggests operations focused on outreach, time-based rehabilitative services, and ongoing community support rather than high-volume acute medical visits.
Competitively, the practice is a modest statewide participant on its top revenue codes: H0023 ranks #7 of 10 (33rd percentile), H2017 ranks #11 of 28 (63rd percentile), and H2015 ranks #11 of 19 (44th percentile), so it is not a dominant payer in these lines within Vermont. While it generates large absolute Medicaid dollars from these codes, its in-state ranks indicate typical or unremarkable market share for each.
There are notable high-volume psychotherapy signals despite their smaller revenue share: 90837 appears with 28.3K claims and $254.7K revenue (4.3%) and ranks #3 of 666 (100th percentile; extreme outlier). This indicates the clinic provides psychotherapy at volumes far above typical state peers for 90837, implying a heavy emphasis on long-session psychotherapy delivery even though unit payments are relatively low.
Several other codes show unusually high claim volume relative to state peers with low or zero average paid amounts: 90832 has 4.8K claims and $0 revenue (rank #6 of 107, 95th percentile; notably above typical), and 90791 has 1.1K claims and $1.1K revenue (rank #3 of 89, 98th percentile; notably above typical). These patterns point to substantial reporting of shorter psychotherapy and evaluation services where per-claim payment is minimal or not recorded, which could materially shape utilization profiles despite limited revenue impact.
The provider’s service mix includes ancillary community supports beyond standard therapy: S5146 (foster care, therapeutic, child) generates $166.6K (2.8%) and H0040 (assertive community treatment, per diem) generates $42.2K (0.7%), indicating the organization delivers foster-care therapeutic and ACT-style services in addition to outreach and rehabilitation. These lines diversify the clinical footprint but remain a small share of total Medicaid revenue.
From a payer-management perspective, the fact that 84.0% of Medicaid revenue is tied to outreach and time-based community behavioral health codes (H0023, H2017, H2015) suggests contract negotiations, utilization monitoring, and program audits should prioritize those service lines. Given the clinic’s extreme-volume outlier status on 90837 and notably above-typical ranks on several psychotherapy/evaluation codes, payers may want targeted utilization reviews or care-pattern benchmarking for psychotherapy and community-rehabilitation services.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0023 | Alcohol and/or drug outreach | 3,510 | $830 | $2.9M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 35,210 | $40 | $1.5M |
| H2015 | Comprehensive community support services, per 15 minutes | 56,250 | $10 | $618.7K |
| 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… | 28,300 | $10 | $254.7K |
| H2011 | Crisis intervention service, per 15 minutes | 8,670 | $20 | $173.3K |
| S5146 | Foster care, therapeutic, child; per month | 260 | $640 | $166.6K |
| H2014 | Skills training and development, per 15 minutes | 6,740 | $10 | $87.6K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 590 | $100 | $55.6K |
| H0040 | Assertive community treatment program, per diem | 130 | $320 | $42.2K |
| 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… | 2,630 | $20 | $42K |
Showing 1–10 of 27
How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Vermont median
27 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0023 | Alcohol and/or drug outreach | 7 | 10 | 6,170 | $900 | $8.7M |
| H2015 | Comprehensive community support services, per 15 minutes | 11 | 20 | 64,230 | $90 | $7.1M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 11 | 30 | 6,730 | $110 | $4.1M |
| H0046 | Mental health services, not otherwise specified | 7 | 10 | 330 | $1,360 | $3.1M |
| T2022 | Case management, per month | 6 | 10 | 4,290 | $210 | $745.2K |
| H2014 | Skills training and development, per 15 minutes | 9 | 10 | 7,770 | $60 | $599.6K |
| S5146 | Foster care, therapeutic, child; per month | 9 | 10 | 740 | $620 | $573.8K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 9 | 10 | 660 | $120 | $303.7K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 16 | 20 | 1,410 | $80 | $247.4K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 12 | 10 | 630 | $60 | $243.1K |
Showing 1–10 of 27
Other providers in the same ZIP code as United Counseling Service Of Bennington County, Inc., ranked by combined Medicare and Medicaid revenue.
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