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.

Springfield Hospital Inc (NPI 1780657783)

Springfield Hospital Inc is a anesthesiology physician provider located in Springfield, Vermont. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Springfield Hospital Inc
Address	25 Ridgewood Rd
City	Springfield
State	VT
ZIP	05156
Taxonomy	Anesthesiology Physician
NPI Enumerated	February 9, 2006

Payer Source	Total Paid
Medicaid	$73.2K
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,340	$30	$33.6K
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…	450	$40	$17.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	460	$20	$9.1K
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…	220	$30	$6.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	110	$10	$1.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$40	$1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	40	$20	$970
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$20	$800
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	10	$60	$780
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	30	$20	$670

Showing 1–10 of 14

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

Springfield Hospital Inc — 0 of 13 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	184	320	680	$30	$146.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	13	20	630	$30	$118.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	12	10	510	$40	$103.2K
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…	125	320	760	$20	$88.2K
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…	28	70	70	$50	$36K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	12	20	70	$70	$18.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	8	10	40	$60	$14.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	14	20	110	$30	$11.1K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	8	10	900	$10	$10.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	8	10	70	$20	$6.8K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Springfield Hospital	VT	Critical Access Hospital Clinic/Center	$0	$960.1K
Jose Ventura	ME	Family Medicine Physician	$50.9K	$197.8K
Joseph Zito	NY	Emergency Medicine Physician	$213.5K	$17.8K
Sassan Naderi	CA	Emergency Medicine Physician	$111.8K	$45.5K
Mukti Patel-prineas	CT	Family Medicine Physician	$144K	$0
Vitaliano Sicilia	NH	Internal Medicine Physician	$103.1K	$0
Jesper Brickley	VT	Family Medicine Physician	$95.8K	$0
Catherine Fernando	NH	Emergency Medicine Physician	$94.9K	$0
Anthony Campbell	MI	Surgery Physician	$77K	$0
Matthew Nofziger	VT	Orthopaedic Surgery Physician	$74.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$13.3M
Crissy Webster	VT	Mental Health Counselor	$0	$850.4K
Town Of Springfield	VT	Ambulance	$249.4K	$482K
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$683.8K
Twin State Psychological Services	VT	Psychologist	$0	$519.6K
Kathy-jo Merlau	VT	Mental Health Counselor	$0	$512K
Springfield Medical Care Systems Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$365.8K
Crissy Webster Counseling Services LLC	VT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$242.6K
Springfield Medical Care Systems Inc	VT	Federally Qualified Health Center (FQHC)	$0	$204.8K
Vincent Buckholz	VT	Clinical Social Worker	$0	$202.6K

Springfield Hospital 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

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