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.

Vt Physical Medicine PLLC (NPI 1427598127)

Field	Value
Entity Type	Organization
Organization	Vt Physical Medicine PLLC
Address	165 Route 7 S
City	Milton
State	VT
ZIP	05468
Taxonomy	Chiropractor
NPI Enumerated	February 28, 2017

Payer Source	Total Paid
Medicaid	$103.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	3,680	$30	$103.1K

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

Vt Physical Medicine PLLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	17	80	1,500	$30	$52.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Nasca	VT	Pediatrics Physician	$0	$987.1K
Christian Dymond	VT	Marriage & Family Therapist	$0	$525.7K
Joseph Nasca, Md	VT	Pediatrics Physician	$0	$472.9K
Town Of Milton	VT	Ambulance	$120.2K	$199K
Excel Physical Therapy Inc	VT	Physical Therapist	$0	$184.4K
Georgia Pediatrics, PC	VT	Pediatrics Physician	$0	$164K
Charles Miranda	VT	Corneal and Contact Management Optometrist	$0	$155.2K
Melisa Gibson	VT	Family Medicine Physician	$90.2K	$0
Preston Graham	VT	Family Medicine Physician	$62.5K	$0
Milton Family Dentistry LLC	VT	General Practice Dentistry	$0	$56.9K

Vt Physical Medicine PLLC — Billing Profile & Reimbursement Data

Sign up for Vt Physical Medicine PLLC — Billing Profile & Reimbursement Data policy alerts

Vt Physical Medicine PLLC — Billing Profile & Reimbursement Data

Sign up for Vt Physical Medicine PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References