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.

Stowe Natural Family Wellness, PLLC (NPI 1538420112)

Stowe Natural Family Wellness, PLLC is a naturopath provider located in Stowe, Vermont. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Stowe Natural Family Wellness, PLLC
Address	699 S Main St Unit 1
City	Stowe
State	VT
ZIP	05672
Taxonomy	Naturopath
NPI Enumerated	May 31, 2012

Payer Source	Total Paid
Medicaid	$638.8K
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,250	$100	$225K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,570	$130	$202.9K
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…	2,500	$70	$180.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	220	$50	$11K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	70	$90	$5.7K
98925	The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders.	160	$30	$4.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	40	$90	$3.5K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	90	$30	$2.7K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	110	$10	$1K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	240	$1	$950

Showing 1–10 of 14

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

Stowe Natural Family Wellness, PLLC — 1 of 13 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	106	320	680	$30	$146.1K
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…	94	320	760	$20	$88.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	12	110	170	$70	$38.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	36	40	890	$10	$32.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	32	40	170	$40	$31.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	32	40	280	$20	$19.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	37	40	290	$20	$16K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	3	10	90	$30	$11.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	44	110	150	$10	$4.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	47	80	190	$1	$3.7K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lamoille Health Partners, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$4.9M
Integral Wellness, LLC	VT	Mental Health Counselor	$0	$553K
Sean Ryan	VT	Clinical Social Worker	$0	$406.5K
Bps Health LLC	VT	Psychologist	$0	$316.9K
Myeyedr Optometry Of Vermont LLC	VT	Optometrist	$0	$239.3K
Stowe Family Dentistry PC	VT	General Practice Dentistry	$0	$230.2K
James Charkalis	VT	Chiropractor	$10.6K	$146K
Jan Johnson	VT	Physical Therapist	$98.8K	$0
Stowe Therapeutic Solutions, LLC	VT	Community/Behavioral Health Agency	$0	$63.1K
David Bisbee	VT	Family Medicine Physician	$59.5K	$0

Stowe Natural Family Wellness, PLLC — Billing Profile & Reimbursement Data

Sign up for Stowe Natural Family Wellness, PLLC — Billing Profile & Reimbursement Data policy alerts

Stowe Natural Family Wellness, PLLC — Billing Profile & Reimbursement Data

Sign up for Stowe Natural Family Wellness, PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References