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.

Loren Cole (NPI 1487729703)

Field	Value
Entity Type	Individual
Organization	Loren Cole
Address	38 Park Pl
City	Brattleboro
State	VT
ZIP	05301
Taxonomy	Social Worker
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$50.6K
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
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…	900	$60	$50.6K

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

Loren Cole — 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
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…	307	670	760	$70	$143.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winston L. Prouty Center For Child Development, Inc.	VT	Developmentally Disabled Services Day Training Agency	$0	$5.5M
Rescue Inc.	VT	Ambulance	$1M	$3.3M
Brattleboro Memorial Hospital	VT	General Acute Care Hospital	$0	$2.4M
Habit Opco, LLC	VT	Substance Use Disorder Rehabilitation Clinic/Center	$463.1K	$1.5M
Lincare Inc.	VT	Durable Medical Equipment & Medical Supplies	$0	$915K
Windham County Dental Center Inc	VT	Dental Clinic/Center	$0	$621.8K
Youth Services, Inc.	VT	Mental Health Counselor	$0	$600.4K
Green Mountain Counseling Associates	VT	Mental Health Counselor	$0	$598.2K
Erin Berard	VT	Mental Health Counselor	$0	$571.5K
Timothy Whitney	VT	Mental Health Counselor	$0	$555.1K

Loren Cole — Billing Profile & Reimbursement Data

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Loren Cole — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References