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.

Green Mountain Support Services Inc. (NPI 1649838533)

Field	Value
Entity Type	Organization
Organization	Green Mountain Support Services Inc.
Address	93 James Rd
City	Morrisville
State	VT
ZIP	05661
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	June 5, 2019

Payer Source	Total Paid
Medicaid	$25.9M
Medicare	$0

Key Findings

GREEN MOUNTAIN SUPPORT SERVICES INC., a Case Manager/Care Coordinator based in MORRISVILLE, VT, has an NPI enumerated on 2019-06-05 (~7 years ago), indicating several years of active enrollment in Medicaid-focused billing networks. The provider’s public profile and taxonomy align with community-based support and care coordination services rather than acute clinical specialties.

This provider is effectively single-payer in the claims data: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $25.9M, indicating all publicly reported reimbursement activity is through Medicaid. Analysts should treat Medicaid as the relevant universe for revenue, utilization, and contracting assessments.

Revenue concentration is extreme by code: a single code, 99199, accounts for 100.0% of this provider’s reported Medicaid revenue (3.3K claims, $7925 avg paid/claim, $25.9M revenue). That level of concentration on an “other services” code signals that the provider’s paid activity is being captured under a non-specific, high-dollar code rather than a diversified set of standard service codes.

Despite generating $25.9M through 99199, the provider is not a statewide dominant biller for that code: 99199 ranks #11 of 16 providers in-state (33th percentile; typical, unremarkable volume for this code). In other words, the organization captures all of its Medicaid revenue through a single non-specific code but remains a modest participant in state-level volume rankings for that code.

There is a marked disconnect between claim volumes and recorded payments across numerous standard support-service codes: for example, T1016 (17.8K claims, $0 avg paid/claim, $0 revenue; ranks #12 of 37, 69th percentile), S5140 (60.8K claims, $0 avg paid/claim, $0 revenue; ranks #6 of 11, 50th percentile), and S5151 (4.7K claims, $0 avg paid/claim, $0 revenue; ranks #9 of 11, 20th percentile) each show substantial reported activity but $0 reported Medicaid revenue. This pattern suggests payments may be recorded under alternate codes (such as 99199), reflected in encounter-only reporting, or managed via bundled/administrative arrangements rather than as discrete paid fee-for-service claims.

The mix of codes reported (T1016 case management, S5140 foster care per diem, S5151 unskilled respite care, plus H2011 crisis intervention and other habilitation/support codes listed) is consistent with a provider operating in foster-care, respite, and community-based case management services. However, the fact that these clinically descriptive or per diem support codes show $0 revenue while 99199 carries all recorded payments points to billing or reimbursement aggregation practices rather than straightforward per-service fee capture.

Operationally, payers and contracting teams should flag this profile for review: the combination of a single high-dollar, non-specific revenue code (99199 at $25.9M, 100.0% of Medicaid revenue) with many high-claim, zero-paid service codes warrants examination of contract terms, bundled payment flows, encounter submission conventions, and coding practices. A focused audit of how services are documented versus how payments are posted will clarify whether revenue allocation reflects contractual arrangement, encounter-only reporting, or other administrative billing conventions.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	3,270	$7,930	$25.9M
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,…	180	$0	$0
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…	20	$0	$0
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…	190	$0	$0
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…	390	$0	$0
H2011	Crisis intervention service, per 15 minutes	30	$0	$0
H2025	Ongoing support to maintain employment, per 15 minutes	3,030	$0	$0
S5150	Unskilled respite care, not hospice; per 15 minutes	5,570	$0	$0
T1016	Case management, each 15 minutes	17,770	$0	$0
S5140	Foster care, adult; per diem	60,820	$0	$0

Showing 1–10 of 13

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

Green Mountain Support Services Inc. — 0 of 1 code 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	11	20	6,570	$6,270	$59.7M
T2025	Waiver services; not otherwise specified (nos)	5	10	1,270	$820	$2.1M
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…	228	320	680	$30	$146.1K
H2011	Crisis intervention service, per 15 minutes	19	20	1,680	$20	$96.2K
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…	298	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…	39	110	170	$70	$38.6K
T1016	Case management, each 15 minutes	12	40	3,900	$1	$31.1K
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,…	48	110	150	$10	$4.6K
T2021	Day habilitation, waiver; per 15 minutes	12	10	28,170	$1	$210
H2025	Ongoing support to maintain employment, per 15 minutes	13	20	3,440	$0	$0

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Green Mountain Support Services Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lamoille County Health Mental Health Services	VT	Community/Behavioral Health Agency	$0	$42.7M
Lamoille County Mental Health Services	VT	Community/Behavioral Health Agency	$0	$22.2M
Lamoille Health Partners, Inc	VT	Cognitive & Behavioral Psychologist	$0	$10.5M
Lamoille Health Partners, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$5.4M
Lamoille Family Center Inc	VT	Public Health or Welfare Agency	$0	$5.2M
Lamoille Health Partners, Inc	VT	Pediatrics Physician	$0	$4.6M
Lamoille Health Partners, Inc	VT	Dentist	$0	$1.7M
Maple Leaf Family Dentistry	VT	General Practice Dentistry	$0	$1.2M
Tamarack Family Medicine	VT	Clinic/Center	$0	$1.1M
Copley Hospital, Inc.	VT	Critical Access Hospital	$0	$525.5K

Green Mountain Support Services Inc. — Billing Profile & Reimbursement Data

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Green Mountain Support Services 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