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.

Nfi Vermont, Inc (NPI 1497885107)

Field	Value
Entity Type	Organization
Organization	Nfi Vermont, Inc
Address	30 Airport Rd
City	South Burlington
State	VT
ZIP	05403
Taxonomy	Clinic/Center
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$33.6M
Medicare	$0

Key Findings

NFI VERMONT, INC shows no Medicare billing on file and reports $33.6M in lifetime Medicaid revenue, making Medicaid effectively the sole payer driving this provider’s recorded activity. This single-payer profile means analyses of its financial and operational performance should focus on Medicaid program rules, rates, and utilization patterns rather than Medicare comparators.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 99.1% of the provider’s total Medicaid revenue. Those codes are H0046 ($28.2M, 83.9%), S9485 ($4.8M, 14.4%), and S9480 ($301.6K, 0.9%), indicating almost all Medicaid dollars flow through a very small set of service lines.

The code mix indicates a behavioral health operating model centered on per-diem and crisis services rather than a broad mix of individual psychotherapy billing. H0046 (mental health services, not otherwise specified), S9485 (crisis intervention mental health services, per diem), and S9480 (intensive outpatient psychiatric services, per diem) suggest the organization runs crisis and intensive outpatient programs as core services rather than relying primarily on time-based psychotherapy visits.

Competitive standing is mixed by code: for H0046 the provider ranks #1 of 13 in-state and is labeled an "extreme outlier, far above typical state volume for this code," indicating a dominant position in that particular Medicaid service within Vermont. For S9485 the provider also ranks #1 of 3 in-state (100th percentile) but the data label notes this is a "typical, unremarkable volume for this code," so the #1 rank likely reflects a small provider pool rather than unusually large absolute volume compared with broader state norms.

Traditional psychotherapy CPTs contribute only a small share of revenue relative to the per-diem codes, reinforcing the operations picture. For example, 90837 is $176.8K (0.5%) and ranks #193 of 666 (71th percentile), 90834 is $70.7K (0.2%) and ranks #47 of 165 (71th percentile), and 90832 is $28.2K (0.1%) and ranks #35 of 107 (68th percentile), showing modest activity in standard psychotherapy billing streams.

Payment-level details underscore the per-diem nature of high-dollar services: H0046 has an average paid/claim of $1521 and S9485 has an average paid/claim of $3349, while S9480 averages $220 per claim. These payment patterns suggest Medicaid dollars to this provider are concentrated in higher-paid per-diem/crisis interventions rather than low-dollar individual therapy encounters.

The provider’s NPI was enumerated 2007-03-06 (~19 years ago), indicating an established operating presence in South Burlington. Combined with the heavy Medicaid concentration and the extreme outlier status on H0046, this tenure suggests a specialized, long-standing behavioral health provider whose financial exposure is highly sensitive to reimbursement policy or utilization changes for a very small set of Medicaid service codes.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0046	Mental health services, not otherwise specified	18,540	$1,520	$28.2M
S9485	Crisis intervention mental health services, per diem	1,440	$3,350	$4.8M
S9480	Intensive outpatient psychiatric services, per diem	1,370	$220	$301.6K
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…	2,160	$80	$176.8K
90834	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…	1,160	$60	$70.7K
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…	830	$30	$28.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	120	$70	$7.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	160	$20	$2.4K

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

Nfi Vermont, Inc — 2 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0046	Mental health services, not otherwise specified	1	10	330	$1,360	$3.1M
S9485	Crisis intervention mental health services, per diem	1	10	880	$2,040	$1.6M
S9480	Intensive outpatient psychiatric services, per diem	4	10	1,900	$240	$476.2K
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…	193	670	760	$70	$143.9K
90834	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…	47	170	360	$20	$35.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	20	40	130	$40	$25.3K
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…	35	110	260	$20	$19.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	24	40	380	$10	$13.8K

Nearby Providers

Other providers in the same ZIP code as Nfi Vermont, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bla Partners, LLC	VT	Clinical Medical Laboratory	$0	$15.2M
Timberlane Dental Group	VT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.5M
Tms Vt, LLC	VT	Durable Medical Equipment & Medical Supplies	$0	$2.9M
Michelle Young	VT	Ophthalmology Physician	$2.1M	$0
Howard Center Inc	VT	Psychiatry Physician	$0	$2M
Vermont Eye Surgery & Laser Center	VT	Ambulatory Surgical Clinic/Center	$1.8M	$2.7K
David Weissgold	VT	Ophthalmology Physician	$1.7M	$0
Surgi-care Inc	VT	Prosthetic/Orthotic Supplier	$0	$1.7M
City Of So Burlington	VT	Ambulance	$400.9K	$1M
Green Mountain Pediatric Dentistry, PLLC	VT	Pediatric Dentistry	$0	$1.3M

Nfi Vermont, Inc — Billing Profile & Reimbursement Data

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Nfi Vermont, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References