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.

Clifton Lord (NPI 1497828859)

Field	Value
Entity Type	Individual
Organization	Clifton Lord
Address	220 Holiday Dr
City	White River Junction
State	VT
ZIP	05001
Taxonomy	Addiction Medicine (Internal Medicine) Physician
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicare	$42.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	300	$60	$18.1K
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…	170	$90	$14.8K
99213	The 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…	100	$60	$6.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	70	$50	$3.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Clifton Lord — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80307	2	10	180	$60	$11.8K
99214	282	960	90	$70	$10.6K
99213	370	910	80	$50	$6.7K
90832	14	20	70	$50	$6.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Habit Opco, LLC	MA	Methadone Clinic	$11M	$224.1M
Habit Opco, LLC	VT	Methadone Clinic	$0	$94M
Habit Opco, LLC	NJ	Methadone Clinic	$433.4K	$17.4M
Life Services For Recovery, LLC	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.2M
Habit Opco, LLC	NH	Methadone Clinic	$539.9K	$4.3M
Habit Opco, LLC	NH	Methadone Clinic	$493.3K	$3.9M
Habit Opco, LLC	VT	Substance Use Disorder Rehabilitation Clinic/Center	$463.1K	$1.5M
Connecticut Valley Addiction Recovery, Inc	VT	Addiction Medicine (Internal Medicine) Physician	$0	$1.3M
Lindsay Loerch	NH	Psychiatric/Mental Health Nurse Practitioner	$6.1K	$0
Anne Marie Kelly	VT	Clinical Social Worker	$4.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Town Of Hartford	VT	Ambulance	$171.8K	$275.8K
Schramm And Symancyk, PLLC	VT	General Practice Dentistry	$0	$290K
Kimberley Hartell	VT	Marriage & Family Therapist	$0	$229.8K
Dartmouth Health Home Care, Inc.	VT	Home Health Agency	$0	$219.8K
Donald Anderson	VT	Chiropractor	$35.2K	$100.4K
White River Family Practice PC	VT	Family Medicine Physician	$0	$130.6K
White River Family Eyecare, PC	VT	Optometrist	$0	$126K
Gifford Health Care, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$111.2K
Richard Graham	VT	Urology Physician	$94.8K	$0
Julie Davis	VT	Family Medicine Physician	$92.7K	$0

Clifton Lord — Billing Profile & Reimbursement Data

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Clifton Lord — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References