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.

Connecticut Valley Addiction Recovery, Inc (NPI 1750932646)

Field	Value
Entity Type	Organization
Organization	Connecticut Valley Addiction Recovery, Inc
Address	141 Etta Frasier Dr
City	Windsor
State	VT
ZIP	05089
Taxonomy	Addiction Medicine (Internal Medicine) Physician
NPI Enumerated	September 23, 2019

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	10,000	$50	$479.8K
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…	6,470	$70	$465.9K
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…	3,680	$40	$143.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	1,780	$70	$131.9K
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…	1,310	$50	$66.8K
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…	260	$30	$7.1K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	340	$20	$6.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	120	$10	$1.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	50	$10	$540

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

Connecticut Valley Addiction Recovery, Inc — 0 of 9 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

9 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.	5	20	2,660	$50	$742.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	9	20	1,410	$80	$247.4K
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…	45	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…	128	320	760	$20	$88.2K
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…	90	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…	9	110	260	$20	$19.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	26	30	720	$10	$14.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	19	40	380	$10	$13.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	8	20	110	$10	$4.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Connecticut Valley Addiction Recovery, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clifton Lord	VT	Addiction Medicine (Internal Medicine) Physician	$42.7K	$0
Lindsay Loerch	NH	Psychiatric/Mental Health Nurse Practitioner	$6.1K	$0
Anne Marie Kelly	VT	Clinical Social Worker	$4.1K	$0

Nearby Providers

Other providers in the same ZIP code as Connecticut Valley Addiction Recovery, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Valley Recovery Services, Inc.	VT	Addiction Medicine (Internal Medicine) Physician	$0	$999.1K
Windsor Hospital Corporation	VT	Internal Medicine Physician	$0	$524.3K
Town Of Windsor	VT	Land Ambulance	$251.6K	$260K
Barbara Spear	VT	Gerontology Clinical Nurse Specialist	$292K	$0
Lauren Pallet	VT	Optometrist	$0	$166.4K
Maxi Green Inc	VT	Community/Retail Pharmacy	$145.7K	$0
Sarah Zwikelmaier	VT	Mental Health Counselor	$0	$86.5K
William Diez	VT	Occupational Therapist	$70.1K	$0
Alden Hall	VT	Hospitalist Physician	$60.8K	$0
Windsor Hospital Corporation	VT	Critical Access Hospital	$0	$56.5K

Connecticut Valley Addiction Recovery, Inc — Billing Profile & Reimbursement Data

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Connecticut Valley Addiction Recovery, Inc — 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