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.

Savida Health, PC (NPI 1598225021)

Key Findings

Field	Value
Entity Type	Organization
Organization	Savida Health, PC
Address	655 Main St Ste 2
City	Bennington
State	VT
ZIP	05201
Taxonomy	Addiction Medicine (Internal Medicine) Physician
NPI Enumerated	March 21, 2019

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

This provider is effectively single‑payer in scope: there is no Medicare billing on file while Total Medicaid revenue is $12M, so all reported public-payer revenue comes from Medicaid. Analysts should treat Medicaid as the operating payer when assessing scale and reimbursement exposure for SAVIDA HEALTH, PC in Bennington, VT.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 95.8% of the provider's Medicaid revenue. The three codes driving that concentration are 99214 ($9.6M, 80.1% of Medicaid revenue), 99213 ($1.3M, 10.8%), and 80307 ($591.7K, 4.9%), indicating a narrow revenue base tied to a few service lines.

The code mix maps directly to the provider's taxonomy (Addiction Medicine / Internal Medicine): dominant E/M codes 99214 and 99213 point to a high-volume outpatient practice focused on established patient visits and ongoing management, while drug-testing codes such as 80307 and G0480 indicate routine toxicology monitoring consistent with addiction‑medicine workflows. Together these codes suggest longitudinal care with frequent monitoring rather than episodic procedural activity.

99214 volume is an outlier in-state: 121.7K claims at $79 avg paid/claim generating $9.6M in revenue, and the provider ranks #2 of 323 providers in Vermont (100th percentile; described as an extreme outlier). That combination of very high claim count and rank signals that SAVIDA HEALTH is a dominant source of high‑complexity established outpatient visits for Medicaid beneficiaries in the state.

Other E/M and testing codes show above‑typical participation but more modest scale: 99213 has 24.1K claims ($54 avg paid/claim, $1.3M revenue) and ranks #15 of 319 (96th percentile; notably above typical state volume), while 80307 has 17.9K claims ($33 avg paid/claim, $591.7K) and ranks #4 of 16 (80th percentile; typical, unremarkable volume). Definitive drug-testing code G0480 also appears in the mix (7.4K claims, $367.9K, rank #2 of 6, 80th percentile), reinforcing routine laboratory monitoring as a consistent revenue component.

There are a few specialty testing outliers beyond E/M visits: 81025 shows 6.4K claims at $7 avg paid/claim for $44.6K and ranks #1 of 20 providers in-state (100th percentile; extreme outlier). This unusually high pregnancy testing volume may reflect intake or monitoring protocols for a largely reproductive‑aged Medicaid clinic population and is notable for program planners and utilization reviewers.

From an operational and payer‑strategy perspective, the business is highly dependent on frequent established‑patient office visits billed as 99214 and 99213, which together dominate revenue and utilization patterns. Because nearly all revenue is Medicaid and concentrated in a few codes (95.8% from the top three), changes to Medicaid reimbursement, visit‑level coding guidance, or utilization management for these specific codes would disproportionately affect the provider's financial profile.

The provider has been NPI‑enumerated since 2019-03-21 (~7 years ago), indicating relatively recent enrollment followed by rapid scale in Medicaid billing. Given the short public tenure and the extreme volumes on select codes, competitive analysts should consider SAVIDA HEALTH a rapidly scaled, specialty outpatient practice with state‑level dominance in high‑complexity established visits for Medicaid beneficiaries.

Medicaid: Complete Services Breakdown

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

10 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…	121,670	$80	$9.6M
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…	24,090	$50	$1.3M
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.	17,930	$30	$591.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	7,360	$50	$367.9K
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…	520	$100	$50.6K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	6,370	$10	$44.6K
99203	The provider sees a new 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 provider…	240	$70	$17.9K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	270	$40	$9.8K
99204	The provider sees a new 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 provider…	70	$110	$8K
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,…	90	$30	$3K

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

Savida Health, PC — 3 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2	10	660	$80	$1.5M
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.	4	20	2,660	$50	$742.4K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2	10	3,020	$140	$416.7K
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	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…	15	320	760	$20	$88.2K
99204	The provider sees a new 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 provider…	20	50	50	$80	$50K
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…	34	110	170	$70	$38.6K
99203	The provider sees a new 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 provider…	25	70	70	$50	$36K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	1	20	170	$10	$5.2K
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,…	68	110	150	$10	$4.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Savida Health, PC	VA	Addiction Medicine (Internal Medicine) Physician	$0	$46.6M
Savida Health, PC	MA	Addiction Medicine (Internal Medicine) Physician	$0	$36.2M
Savida Health, PC	ME	Addiction Medicine (Internal Medicine) Physician	$0	$3.9M
Savida Health, PC	DE	Addiction Medicine (Internal Medicine) Physician	$0	$2.8M
Suzanne Smith	MA	Addiction Medicine (Internal Medicine) Physician	$78.7K	$587.5K
Susan Cary	MA	Addiction Medicine (Psychiatry & Neurology) Physician	$471.8K	$57.1K
Stephanie Ayan	NH	Family Nurse Practitioner	$38.4K	$189.8K
Barbara Rosenthal	VT	Family Medicine Physician	$0	$103.1K
Savida Health, PC	NH	Addiction Medicine (Internal Medicine) Physician	$0	$90K
Michelle Monteleone-ethier	MA	Acute Care Nurse Practitioner	$73.6K	$12.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Counseling Service Of Bennington County, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$72.5M
Vermont Permanency Initiative, Inc.	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$27.9M
Sunrise Family Resource Center	VT	Social Worker	$0	$7M
Seall Inc	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$6.6M
United Counseling Service Of Bennington County, Inc.	VT	Clinic/Center	$0	$6M
Southwestern Vermont Medical Center Inc.	VT	General Acute Care Hospital	$0	$5.1M
Town Of Bennington Rescue Squad, Inc.	VT	Land Ambulance	$683.4K	$2.7M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Oral And Facial Surgery Associates,plc	VT	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
Brookside Pediatrics & Adolescent Medicine PLLC	VT	Pediatrics Physician	$0	$1.2M

Savida Health, PC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References