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 Department Of Mental Health (NPI 1659406296)

Field	Value
Entity Type	Organization
Organization	Vermont Department Of Mental Health
Address	108 Cherry St
City	Burlington
State	VT
ZIP	05401
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	February 23, 2007

Payer Source	Total Paid
Medicaid	$105.1M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file (none below) and instead is effectively a single-payer Medicaid operation with total Medicaid revenue of $105.1M, indicating its financial scale is entirely derived from state Medicaid reimbursements. The absence of Medicare activity simplifies payer mix analysis but increases exposure to state Medicaid policy and rate dynamics.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and the documented top code H2022 alone is listed as generating $105.1M (100.0% of Medicaid revenue). This concentration signals that a very small set of service lines — in practice a single dominant code — drives nearly all top-line billing.

The top billing code H2022 is defined as Community-based wrap-around services, per diem, and the provider recorded 118.9K claims at an $884 avg paid/claim under this code. These figures describe an operational model focused on high-volume, per-diem community-based mental health services rather than episodic procedural care, consistent with the Adult Mental Health Clinic/Center taxonomy.

From a unit-economics perspective, the combination of 118.9K claims and an $884 average paid per claim yielding $105.1M in revenue shows scale in a standardized per-diem service line; this suggests billing is driven by volume of enrolled participants and days of service rather than diversified CPT-level services. Analyses of utilization trends (claims/day, enrollment churn) will be important to understand revenue drivers.

Competitive standing within Vermont for H2022 is solid but not singularly dominant: the provider ranks #3 of 14 providers in-state (85th percentile; typical, unremarkable volume for this code). That rank positions the organization as a leading statewide participant for community-based wrap-around services while still sharing meaningful market presence with several peers.

The NPI was enumerated on 2007-02-23 (~19 years ago), indicating long-tenured participation in the program and an established operational history. This longevity supports institutional knowledge and relationships with state Medicaid programs that can be important in rate negotiations or program design discussions.

Given the dataset’s concentration (100.0% of Medicaid revenue tied to the top codes and H2022 representing the entirety of reported Medicaid revenue), the provider is particularly sensitive to Medicaid policy, reimbursement-rate changes, or service-eligibility modifications affecting H2022. Payor analysts should monitor state policy updates, authorization criteria, and peer utilization shifts, since changes to this single service category could materially impact the provider’s revenue and market rank.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	118,930	$880	$105.1M

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 Department Of Mental Health — 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	3	10	18,970	$620	$35.6M

Nearby Providers

Other providers in the same ZIP code as Vermont Department Of Mental Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard Center Inc	VT	Developmentally Disabled Services Day Training Agency	$0	$332.2M
Howard Center Inc	VT	Adolescent and Children Mental Health Clinic/Center	$0	$130.1M
Community Health Centers Of Burlington Inc	VT	Federally Qualified Health Center (FQHC)	$0	$39.8M
Howard Center Inc	VT	Methadone Clinic	$517.9K	$35M
Howard Center Inc	VT	State or Local Public Health Clinic/Center	$0	$23.4M
University Of Vermont Medical Center Inc	VT	Internal Medicine Physician	$0	$17.6M
Transition Ii	VT	Case Manager/Care Coordinator	$0	$17.3M
The Dental Center At Community Health Center Of Burlington	VT	Dental Clinic/Center	$0	$6.7M
City Of Burlington Vermont	VT	Land Ambulance	$677.2K	$4.3M
Spectrum, Inc.	VT	Addiction (Substance Use Disorder) Counselor	$0	$2.4M

Vermont Department Of Mental Health — Billing Profile & Reimbursement Data

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Vermont Department Of Mental Health — 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