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.

Windsor Hospital Corporation (NPI 1841287984)

Windsor Hospital Corporation is a internal medicine physician provider located in Windsor, Vermont. This profile covers 0 Medicare and 31 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	Windsor Hospital Corporation
Address	289 County Rd
City	Windsor
State	VT
ZIP	05089
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 4, 2005

Payer Source	Total Paid
Medicaid	$524.3K
Medicare	$0

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

31 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…	14,490	$20	$260.8K
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…	7,080	$30	$184K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	1,460	$10	$17.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,880	$10	$17.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	340	$30	$9.4K
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…	480	$10	$5.7K
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…	2,400	$1	$4.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	130	$30	$4.2K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	200	$20	$3.4K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	100	$30	$3.4K

Showing 1–10 of 31

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

Windsor Hospital Corporation — 0 of 25 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

31 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…	43	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…	402	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…	29	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…	106	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…	67	70	70	$50	$36K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	19	40	890	$10	$32.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	28	40	170	$40	$31.6K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	72	70	850	$10	$26.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	29	40	280	$20	$19.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	21	40	290	$20	$16K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gregory Aprilliano	NH	Certified Registered Nurse Anesthetist	$0	$478K
Jose Peraza	NH	Dermatology Physician	$378.5K	$0
David Lawlor	NH	Ophthalmology Physician	$180.1K	$5.1K
Lauren Pallet	VT	Optometrist	$0	$166.4K
Donald Miller	NH	Ophthalmology Physician	$144.5K	$0
Sivashakthi Maeder	NH	Ophthalmology Physician	$119.7K	$0
Shawn Ahmad	NH	Cardiovascular Disease Physician	$98.9K	$0
Nicholas Buss	OR	Interventional Cardiology Physician	$90.8K	$0
Sarah Zwikelmaier	VT	Mental Health Counselor	$0	$86.5K
Michael Zegans	NH	Ophthalmology Physician	$71.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Valley Addiction Recovery, Inc	VT	Addiction Medicine (Internal Medicine) Physician	$0	$1.3M
Connecticut Valley Recovery Services, Inc.	VT	Addiction Medicine (Internal Medicine) Physician	$0	$999.1K
Town Of Windsor	VT	Land Ambulance	$251.6K	$260K
Barbara Spear	VT	Gerontology Clinical Nurse Specialist	$292K	$0
Maxi Green Inc	VT	Community/Retail Pharmacy	$145.7K	$0
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
Maurice Paquette	VT	Physician Assistant	$50.4K	$0
Heidi Cruz	VT	Physical Medicine & Rehabilitation Physician	$48.1K	$0

Windsor Hospital Corporation — Billing Profile & Reimbursement Data

Sign up for Windsor Hospital Corporation — Billing Profile & Reimbursement Data policy alerts

Windsor Hospital Corporation — Billing Profile & Reimbursement Data

Sign up for Windsor Hospital Corporation — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References