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.

Lamoille Health Partners, Inc (NPI 1851349484)

Field	Value
Entity Type	Organization
Organization	Lamoille Health Partners, Inc
Address	607 Washington Hwy
City	Morrisville
State	VT
ZIP	05661
Taxonomy	Cognitive & Behavioral Psychologist
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

Key Findings

LAMOILLE HEALTH PARTNERS, INC is effectively a Medicaid-focused provider: there is no Medicare billing on file while Medicaid revenue totals $10.5M, indicating a near-exclusive reliance on Medicaid as its payer base. The NPI was enumerated ~20 years ago (2006-05-05), so this is a long-tenured practice that has been operating and billing over multiple policy cycles.

Revenue is highly concentrated in a single code: T1015 accounts for $10.1M and represents 95.8% of the provider’s total Medicaid revenue. That concentration shows the organization operates primarily as a clinic/encounter site providing bundled clinic visits rather than generating revenue across a broad set of distinct procedure codes.

The provider’s code mix and top-paying services point to a Federally Qualified Health Center (FQHC) style, clinic-based behavioral health operation: the dominance of T1015 (Clinic visit/encounter, all-inclusive) together with significant use of G0467 and G0470 (FQHC visit codes, including the mental health-specific G0470) suggests most revenue is driven by bundled clinic visit payments rather than by discrete psychotherapy CPTs. This implies the organization bills per-visit bundled clinic fees for integrated services rather than relying primarily on individual psychotherapy reimbursements.

Despite large claim counts reported for psychotherapy CPTs (90834 appears with 33.1K claims and 90832 with 2K claims), those codes have $0 recorded Medicaid revenue in the extract; operationally this suggests either those units are captured within the all-inclusive T1015 billing or are not reimbursed separately in this payer dataset. Analysts should treat the high claim volumes for psychotherapy codes as utilization signals that do not correspond to additional recorded Medicaid payments in this profile.

On state-level competitive standing, the provider’s volume on T1015 ranks #9 of 70 providers in-state (88th percentile), which positions it as a solid but not dominant Medicaid clinic for that code; the T1015 ranking is described as typical/unremarkable volume for the code despite representing almost all of the provider’s revenue. For H0004 the provider ranks #5 of 19 (78th percentile) — another indication of materially above-average but not market-leading presence in behavioral health counseling within Vermont.

Other FQHC-related codes show mid-to-high state percentiles: G0467 ranks #12 of 49 (77th percentile) and G0470 ranks #2 of 8 (86th percentile), indicating consistent use of FQHC visit billing relative to peers. G2025 telehealth distant-site payments rank #3 of 26 (92th percentile), which signals relatively strong telehealth utilization among in-state FQHCs even though G2025 contributes only $17.2K (0.2%) of total Medicaid revenue.

The provider’s operational profile shows narrow revenue diversity: the top 3 Medicaid codes account for 99.5% of total Medicaid revenue, meaning the business is financially dependent on a very small set of bundled visit and FQHC-related payments. That degree of concentration creates exposure to reimbursement policy changes that affect clinic-visit bundling or FQHC payment rules.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	58,950	$170	$10.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	3,900	$80	$307.8K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	2,710	$30	$83.9K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	1,030	$30	$32.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1,430	$10	$17.2K
H0001	Alcohol and/or drug assessment	20	$180	$3K
99441	N/A	10	$50	$600
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	70	$0	$0
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	340	$0	$0
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…	2,020	$0	$0

Showing 1–10 of 18

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

Lamoille Health Partners, Inc — 0 of 7 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	9	70	11,650	$150	$3.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	5	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…	34	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…	483	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…	45	320	760	$20	$88.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	12	50	1,020	$20	$87.6K
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…	81	110	170	$70	$38.6K
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…	1	170	360	$20	$35.9K
H0001	Alcohol and/or drug assessment	9	10	160	$150	$31.2K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	5	10	150	$40	$20.1K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lamoille Health Partners, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lamoille Health Partners, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$5.4M
Lamoille Health Partners, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$4.9M
Lamoille Health Partners, Inc	VT	Pediatrics Physician	$0	$4.6M
Lamoille Health Partners, Inc	VT	Dentist	$0	$1.7M
Heather Jones	VT	Mental Health Counselor	$0	$231.3K
Katherine Wilde	VT	Adult Psychiatric/Mental Health Clinical Nurse Specialist	$6.9K	$186.8K
Hayley Hamilton	VT	Clinical Social Worker	$0	$183.7K
Lamoille Health Partners Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$163.2K
Lauren Johnson	VT	Clinical Child & Adolescent Psychologist	$0	$162K
Lamoille Health Partners, Inc	VT	Neurology Physician	$0	$135.8K

Nearby Providers

Other providers in the same ZIP code as Lamoille Health Partners, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lamoille County Health Mental Health Services	VT	Community/Behavioral Health Agency	$0	$42.7M
Green Mountain Support Services Inc.	VT	Case Manager/Care Coordinator	$0	$25.9M
Lamoille County Mental Health Services	VT	Community/Behavioral Health Agency	$0	$22.2M
Lamoille Family Center Inc	VT	Public Health or Welfare Agency	$0	$5.2M
Maple Leaf Family Dentistry	VT	General Practice Dentistry	$0	$1.2M
Tamarack Family Medicine	VT	Clinic/Center	$0	$1.1M
Copley Hospital, Inc.	VT	Critical Access Hospital	$0	$525.5K
Melissa Mason	VT	Mental Health Counselor	$0	$488.6K
Experiential Counseling LLC	VT	Mental Health Counselor	$0	$440.7K
Carol Lehmann	VT	Occupational Therapist	$0	$412.1K

Lamoille Health Partners, Inc — Billing Profile & Reimbursement Data

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Lamoille Health Partners, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References