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    OpenPayerNPI Medicare & MedicaidStewart Manchester
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    Stewart Manchester — Billing Profile & Reimbursement Data

    NPI 1497710826 · St Albans, VT · Family Medicine Physician

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    Stewart Manchester is a family medicine physician provider located in St Albans, Vermont. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStewart Manchester
    Address9 Crest Rd
    CitySt Albans
    StateVT
    ZIP05478
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 19, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$86.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…420$60$23.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit110$130$13.9K
    99441N/A290$30$9.8K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.80$90$6.4K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…80$70$5.8K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…40$160$5.7K
    99214The 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…60$80$4.9K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$160$3.5K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.20$140$3K
    G0008Administration of influenza virus vaccine90$30$2.8K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285118130110$130$16.2K
    9921458396090$70$10.6K
    992916612040$160$9.4K
    9928482140100$80$8.5K
    G04394324050$120$8.3K
    170004040170$30$7.7K
    992136391080$50$6.7K
    906624914050$70$6.1K
    G00087617070$20$3.5K
    G043872020$150$3K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Primary Care Health Partners - Vermont LLPVTFamily Medicine Physician$0$2.8M
    Northwestern Medical Center, Inc.VTPediatrics Physician$0$1.4M
    Northwestern Medical Center, Inc.VTGeneral Acute Care Hospital$0$1.1M
    Northwestern Medical Center, Inc.VTUrgent Care Clinic/Center$0$757.2K
    Northwestern Medical Center, Inc.VTPediatrics Physician$0$596.5K
    Michael HookerVAOrthopaedic Surgery Physician$382.5K$0
    Northwestern Medical Center IncVTGeneral Acute Care Hospital$0$349.6K
    Gregory BropheyVTOphthalmology Physician$234.2K$0
    Michael BarnumFLOrthopaedic Surgery of the Spine Physician$200.3K$0
    Northwestern Medical Center, Inc.VTFamily Medicine Physician$0$176.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwestern Counseling & Support ServicesVTCommunity/Behavioral Health Agency$0$129.9M
    Northwestern Counseling & Support Services IncVTCommunity/Behavioral Health Agency$0$70.4M
    Amcare Medical Systems, Inc.VTLand Ambulance$576.2K$2.2M
    Baart Behavioral Health Services, Inc.VTSubstance Use Disorder Rehabilitation Clinic/Center$180.2K$2.5M
    Remy Vallee Dmd IncVTDentist$0$1.1M
    Calm Reflections Psychotherapy, LLCVTClinical Social Worker$0$840.8K
    Northern Valley Eyecare, Inc.VTOptometrist$0$703.1K
    Michelle PelkeyVTClinical Social Worker$0$550.9K
    Gillian IrelandVTMental Health Counselor$0$388.4K
    Avalon Natural Medicine Of Vermont, PLLCVTNaturopath$0$373K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Vermont Distribution
    Stewart Manchester — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont