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.

Vermont Medical Sleep Disorders Center, Inc (NPI 1497884209)

Field	Value
Entity Type	Organization
Organization	Vermont Medical Sleep Disorders Center, Inc
Address	139 Pearl St
City	Essex Junction
State	VT
ZIP	05452
Taxonomy	Sleep Disorder Diagnostic Clinic/Center
NPI Enumerated	March 5, 2007

Payer Source	Total Paid
Medicaid	$74.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	200	$280	$54.9K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	180	$90	$16.6K
94660	The provider initiates continuous positive airway pressure ventilation, or CPAP, typically for a patient with sleep apnea, or periodic cessation of breathing while asleep. He trains the patient on…	60	$50	$2.8K

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

Vermont Medical Sleep Disorders Center, Inc — 1 of 3 codes 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	3	10	180	$90	$17.8K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	1	10	60	$70	$6.1K
94660	The provider initiates continuous positive airway pressure ventilation, or CPAP, typically for a patient with sleep apnea, or periodic cessation of breathing while asleep. He trains the patient on…	1	10	60	$50	$2.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Vermont Medical Sleep Disorders Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vermont Medical Sleep Disorders Center, Inc.	VT	Durable Medical Equipment & Medical Supplies	$0	$841.4K

Nearby Providers

Other providers in the same ZIP code as Vermont Medical Sleep Disorders Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Essex Pediatrics PC	VT	Pediatrics Physician	$0	$1.2M
Essex Rescue Inc	VT	Land Ambulance	$307.8K	$787.8K
Jennifer Donohue	VT	Mental Health Counselor	$0	$648.7K
Roscoe Ferris	VT	Clinical Social Worker	$0	$647.5K
Lincare Inc.	VT	Durable Medical Equipment & Medical Supplies	$0	$611.6K
Bio Medic Appliances Inc	VT	Prosthetic/Orthotic Supplier	$0	$568K
Pamela Barnes	VT	Mental Health Counselor	$0	$311.6K
Amber Minton	VT	Clinical Social Worker	$0	$222K
Vermont Wellness Collaborative LLC	VT	Clinical Social Worker	$0	$213K
Nvos, PC	VT	Oral and Maxillofacial Surgery (Dentist)	$0	$132.3K

Vermont Medical Sleep Disorders Center, Inc — Billing Profile & Reimbursement Data

Sign up for Vermont Medical Sleep Disorders Center, Inc — Billing Profile & Reimbursement Data policy alerts

Vermont Medical Sleep Disorders Center, Inc — Billing Profile & Reimbursement Data

Sign up for Vermont Medical Sleep Disorders Center, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References