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.

The Richford Health Center Inc (NPI 1750380531)

Field	Value
Entity Type	Organization
Organization	The Richford Health Center Inc
Address	44 Main St
City	Richford
State	VT
ZIP	05476
Taxonomy	Legal Medicine
NPI Enumerated	July 14, 2005

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

Key Findings

THE RICHFORD HEALTH CENTER INC shows no Medicare billing on file and is effectively a single-payer Medicaid provider at scale, reporting $12.2M in lifetime Medicaid revenue and no recorded Medicare revenue. This makes Medicaid the sole documented source of federal program revenue for the entity in the dataset.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 99.7% of this provider's total Medicaid revenue, with T1015 alone representing $12.1M (99.1% of Medicaid revenue). This concentration indicates reliance on a single encounter-based payment stream for the vast majority of receipts.

The coding mix and top driver T1015 (Clinic visit/encounter, all-inclusive) indicate the organization operates primarily as a clinic delivering bundled, per-encounter services rather than fee-for-service episodic procedures. The presence of G0467 (3.5K claims, $65.6K revenue) and G0511 (535 claims, $13.4K revenue) alongside T1015 suggests workflows consistent with FQHC/RHC-style visits and an emphasis on chronic care management or behavioral health integration.

Competitive standing for the principal revenue code is strong but not unique: T1015 ranks #6 of 70 in-state (93th percentile; typical, unremarkable volume for this code), so the provider is a high-ranked biller of that encounter code within Vermont but still operates within the state’s normal distribution for clinics billing T1015. G0467 ranks #10 of 49 (81th percentile; typical, unremarkable volume), indicating customary participation in FQHC-type visits relative to peers.

G0511 is a notable positive outlier for care management: it ranks #1 of 5 providers in-state (100th percentile; notably above typical state volume for this code), suggesting this provider bills substantially more general care management/BHI monthly services than most peers who submit that code. Given G0511’s role in chronic care management and behavioral health integration, this could reflect a local emphasis on those service lines.

Multiple high-volume service codes appear with $0 or near-zero paid per claim in the Medicaid file (for example, 99213: 30.8K claims, $0 avg paid/claim, 99214: 12.3K claims, $1 avg paid/claim, 90834: 5.9K claims, $0 avg paid/claim, 36415: 2.9K claims, $0 avg paid/claim). These patterns are consistent with an encounter/bundle payment model where many component services are captured in a single all-inclusive encounter payment (T1015), or with reporting conventions that separate claim counts from payment flows.

There are statistical outliers in volume that generate little or no recorded revenue: 91300 (184 claims) ranks #1 of 23 in-state (100th percentile; extreme outlier, far above typical state volume) yet shows $0 revenue, and 3075F (135 claims) ranks #1 of 7 (100th percentile; notably above typical state volume) with $0 recorded revenue. These entries suggest either non-reimbursed item reporting, bundled reimbursement treatment, or idiosyncratic coding practices rather than material revenue drivers.

The provider has a long tenure in the NPI registry (enumerated 2005-07-14, ~21 years ago), which combined with concentrated Medicaid revenue and clinic-style billing implies an established local clinic model focused on Medicaid populations. That same revenue concentration around T1015 represents operational stability but also a strategic vulnerability: shifts in encounter-rate reimbursement, state policy on clinic bundles, or contracting could materially affect total revenue.

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	68,080	$180	$12.1M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	3,450	$20	$65.6K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	540	$30	$13.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,110	$10	$13.3K
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…	12,280	$1	$12.3K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	320	$10	$2.6K
0002A	N/A	50	$40	$2K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	70	$20	$1.3K
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…	50	$10	$690
99335	N/A	10	$30	$350

Showing 1–10 of 32

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

The Richford Health Center Inc — 1 of 12 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	70	11,650	$150	$3.3M
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…	21	320	680	$30	$146.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	429	670	760	$70	$143.9K
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…	9	320	760	$20	$88.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	10	50	1,020	$20	$87.6K
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…	22	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…	84	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…	33	70	70	$50	$36K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	11	170	360	$20	$35.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	19	110	260	$20	$19.5K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Richford Health Center Inc, 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
The Richford Health Center Inc.	VT	General Practice Dentistry	$0	$1.4M
The Richford Health Center Inc	VT	Legal Medicine	$0	$262.2K
Harris Strokoff	VT	Psychiatry Physician	$18.3K	$174.2K
Meghrajsinh Atodaria	VT	Dentist	$0	$84.2K
The Richford Health Center Inc	VT	Family Medicine Physician	$0	$77.1K
The Richford Health Center Inc	VT	Family Medicine Physician	$0	$51K
Meghan Clack	VT	Adult Health Nurse Practitioner	$34.2K	$0
Audrey Vonlepel	VT	Internal Medicine Physician	$28.4K	$0
Erick Lavallee	VT	Family Medicine Physician	$25.2K	$0

Nearby Providers

Other providers in the same ZIP code as The Richford Health Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Town Of Richford	VT	Ambulance	$103.2K	$218K
Richford Health Center, Inc.	VT	Community/Retail Pharmacy	$0	$48.1K
Sarah Mutar	VT	Adult Health Nurse Practitioner	$22.1K	$0
Nathaniel Burns	VT	Physician Assistant	$4.3K	$0

The Richford Health Center Inc — Billing Profile & Reimbursement Data

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The Richford Health Center 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

Related Providers

Nearby Providers

Frequently Asked Questions

References