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.

Howard Center Inc (NPI 1770700221)

Field	Value
Entity Type	Organization
Organization	Howard Center Inc
Address	102 S Winooski Ave
City	Burlington
State	VT
ZIP	05401
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 19, 2007

Payer Source	Total Paid
Medicaid	$332.2M
Medicare	$0

Key Findings

HOWARD CENTER INC is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $332.2M. This places the organization squarely within Medicaid-funded long‑term and community services rather than fee‑for‑service Medicare care models.

Revenue is highly concentrated in just two billing codes that together account for the provider’s entire reported Medicaid revenue: 99199 represents $224.9M (67.7% of Medicaid revenue) and H2022 represents $107.3M (32.3% of Medicaid revenue); the precomputed top‑3 codes account for 100.0% of the Medicaid total. This concentration indicates most dollars flow through a small number of service lines and billing categories.

The top revenue codes imply a dominant focus on community wrap‑around and non‑standardized service bundles: H2022 is Community‑based wrap‑around services (per diem), while 99199 is “other medicine services or procedures” used when no specific code exists. Together these suggest Howard Center bills substantial per‑diem and catch‑all service lines consistent with individualized community supports rather than traditional office‑based medical visits.

Howard Center is a statewide leader for the 99199 code: it ranks #1 of 16 providers in Vermont (100th percentile) and is described as notably above typical state volume for this code. By contrast, H2022 ranks #4 of 14 providers in the state (77th percentile) and is characterized as unremarkable in volume, indicating dominance in the catch‑all/other services category but more typical statewide activity for formal wrap‑around per‑diems.

Operationally the claim mix aligns with the listed taxonomy (Developmentally Disabled Services Day Training Agency) and a broad habilitation/residential services footprint: large claim volumes appear for day habilitation (T2021), residential habilitation (T2016/T2017), supported employment (H2023/H2024), foster care (S5140), and respite (S5150/S5151). These codes—many of which are high‑volume in Howard Center’s file—support an organization that provides day, residential, employment and respite support to individuals with developmental disabilities.

Several service codes show very large claim counts but a $0 average paid per claim (for example T1016: 280.4K claims, T2021: 184.3K claims, S5140: 149.3K claims, S5150: 53.6K claims and H2023: 18.3K claims). The presence of high‑volume, $0‑paid claim lines (some labeled as “extreme outlier” or “notably above typical”) suggests these services are tracked in the claims data but are not producing line‑level reimbursements in this dataset, consistent with bundled, capitated, or state reporting conventions rather than direct per‑line fee payments.

Clinical E&M and psychotherapy revenues are negligible relative to total Medicaid receipts: 99213 and 99214 together account for only a few thousand dollars and standard psychotherapy CPTs (90832/90834/90837) contribute effectively $0 in paid revenue. This reinforces that the provider’s financial model is driven by habilitation and wrap‑around service billing rather than routine clinic visits or psychotherapy fee‑for‑service activity.

Howard Center has established presence and longevity in payer files: the NPI was enumerated on 2007-04-19 (~19 years ago). For payers and contracting teams, the combination of long tenure, state‑level dominance on 99199, and concentrated Medicaid revenue suggests this entity is a stable, specialized Medicaid partner whose contracting and utilization monitoring should prioritize the provider’s dominant codes and the high‑volume, $0‑paid service lines.

Medicaid: Complete Services Breakdown

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

25 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.	39,410	$5,710	$224.9M
H2022	Community-based wrap-around services, per diem	81,050	$1,320	$107.3M
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…	850	$1	$2.6K
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…	610	$1	$1.8K
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…	1,600	$1	$1.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	90	$0	$0
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…	750	$0	$0
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…	1,100	$0	$0
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	190	$0	$0
H2011	Crisis intervention service, per 15 minutes	200	$0	$0

Showing 1–10 of 25

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

Howard Center Inc — 1 of 5 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

25 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.	1	20	6,570	$6,270	$59.7M
H2022	Community-based wrap-around services, per diem	4	10	18,970	$620	$35.6M
T2025	Waiver services; not otherwise specified (nos)	4	10	1,270	$820	$2.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2	10	16,040	$90	$1.5M
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…	172	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…	273	670	760	$70	$143.9K
T1017	Targeted case management, each 15 minutes	17	20	1,580	$30	$102.9K
H2011	Crisis intervention service, per 15 minutes	16	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…	154	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…	67	170	360	$20	$35.9K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard Center Inc	VT	Adolescent and Children Mental Health Clinic/Center	$0	$130.1M
Vermont Department Of Mental Health	VT	Adult Mental Health Clinic/Center	$0	$105.1M
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

Howard 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

Nearby Providers

Frequently Asked Questions

References