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.

Thomas Chittenden Health Center, Plc (NPI 1811099229)

Thomas Chittenden Health Center, Plc is a family medicine physician provider located in Williston, Vermont. This profile covers 0 Medicare and 10 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	Thomas Chittenden Health Center, Plc
Address	586 Oak Hill Road
City	Williston
State	VT
ZIP	05495
Taxonomy	Family Medicine Physician
NPI Enumerated	September 5, 2006

Payer Source	Total Paid
Medicaid	$288.9K
Medicare	$0

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

10 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…	10,820	$20	$194.7K
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…	5,730	$20	$86K
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…	270	$20	$5.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,020	$1	$1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	180	$1	$740
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	320	$1	$650
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	30	$1	$60
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	20	$1	$60
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	40	$1	$40
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	30	$1	$30

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

Thomas Chittenden Health Center, Plc — 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

10 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…	25	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…	56	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…	45	110	170	$70	$38.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	18	20	670	$10	$18.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	53	90	330	$10	$10K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	18	20	1,130	$1	$8.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	80	190	$1	$3.7K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	13	20	60	$10	$3K
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	12	20	190	$1	$750
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	44	90	320	$1	$690

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adriane Trout	VT	Family Medicine Physician	$88.8K	$0
David Simcoe	VT	Family Medicine Physician	$81.5K	$0
Pamela Dawson	VT	Family Medicine Physician	$75K	$0
Richard Dooley	VT	Physician Assistant	$68.1K	$0
Jeffrey Haddock	VT	Family Medicine Physician	$57.9K	$0
Lily Stolberg	VT	Family Nurse Practitioner	$39.3K	$0
Shannon Burns	VT	Physician Assistant	$37.3K	$0
Mirsada Nurkanovic	VT	Family Nurse Practitioner	$37.2K	$0
Jack Visco	VT	Family Nurse Practitioner	$36.2K	$0
Michele Lareau	VT	Physician Assistant	$27.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Care Health Partners - Vermont LLP	VT	Family Medicine Physician	$0	$2.8M
Brian Ashley, Ma, Plc	VT	Psychologist	$0	$1M
Healthdirect Institutional Pharmacy Services, Inc.	VT	Long Term Care Pharmacy	$411.2K	$503.7K
Evergreen Family Health Partners	VT	Family Medicine Physician	$0	$626.1K
Town Of Williston	VT	Ambulance	$160.7K	$234.6K
Lisa Angstman	VT	Clinical Psychologist	$116.1K	$261.4K
Benjamin Physical Medicine, Plc	VT	Medical Specialty Clinic/Center	$0	$307.8K
Beth Morelli	VT	Mental Health Counselor	$0	$288.7K
Sawyer Lecompte	VT	Mental Health Counselor	$0	$284.7K
Kathleen Kelley	VT	Mental Health Counselor	$0	$242.3K

Thomas Chittenden Health Center, Plc — Billing Profile & Reimbursement Data

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Thomas Chittenden Health Center, Plc — 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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