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.

Fiddlehead Ledge LLC (NPI 1669146510)

Field	Value
Entity Type	Organization
Organization	Fiddlehead Ledge LLC
Address	12 Church St
City	Swanton
State	VT
ZIP	05488
Taxonomy	Family Medicine Physician
NPI Enumerated	August 4, 2021

Payer Source	Total Paid
Medicaid	$700.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 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…	4,520	$100	$429K
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.	4,190	$50	$192.9K
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…	330	$120	$38.5K
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…	200	$80	$15.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	370	$30	$12.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	560	$20	$9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	130	$20	$2.1K
0124A	N/A	40	$30	$910
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	90	$10	$600
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	10	$20	$200

Showing 1–10 of 16

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

Fiddlehead Ledge LLC — 0 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	8	20	2,660	$50	$742.4K
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…	62	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…	222	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…	40	110	170	$70	$38.6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	9	30	140	$10	$15.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	13	40	210	$30	$13.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	62	90	330	$10	$10K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	31	40	50	$30	$3.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	50	80	190	$1	$3.7K
0124A	N/A	7	20	30	$20	$930

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Fiddlehead Ledge LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kristina Unikewicz	VT	Family Nurse Practitioner	$74.1K	$0
Hana Galletta	VT	Family Nurse Practitioner	$56.7K	$0
Caitlin Jacobs	VT	Family Nurse Practitioner	$13.3K	$0

Nearby Providers

Other providers in the same ZIP code as Fiddlehead Ledge LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Richford Health Center Inc	VT	General Practice Dentistry	$0	$1.5M
Michael J Corrigan Md PC	VT	Family Medicine Physician	$0	$1.1M
Missisquoi Valley Rescue, Inc.	VT	Land Ambulance	$164.3K	$450.3K
Kevin Brown	VT	General Practice Dentistry	$0	$268.7K
Lawrence White	VT	Mental Health Counselor	$0	$141.2K
Jevin Carruth	VT	General Practice Dentistry	$0	$97K
Northwestern Medical Center, Inc.	VT	Pediatrics Physician	$0	$82.8K
The Richford Health Center Inc	VT	Family Medicine Physician	$0	$51K

Fiddlehead Ledge LLC — Billing Profile & Reimbursement Data

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Fiddlehead Ledge LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References