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.

Winston L. Prouty Center For Child Development, Inc. (NPI 1851563977)

Field	Value
Entity Type	Organization
Organization	Winston L. Prouty Center For Child Development, Inc.
Address	20 Winston Prouty Way
City	Brattleboro
State	VT
ZIP	05301
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 28, 2008

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while Medicaid accounts for $5.5M in lifetime revenue. The absence of Medicare activity means analyses should focus on Medicaid contract structures, state program relationships, and rate-setting impacts rather than cross‑payer comparisons.

Revenue is highly concentrated in a very small set of Medicaid codes: the top three codes account for 100.0% of the provider’s Medicaid revenue, with T1024 alone representing 93.5% of Medicaid receipts. That concentration points to a narrow revenue base and exposure to changes in reimbursement or authorization policy for those specific services.

The code mix and descriptions indicate a service model focused on intensive, coordinated care for children with significant developmental needs. T1024 (Evaluation and treatment by an integrated, specialty team) drives the business by volume and value, consistent with the provider’s taxonomy as a Developmentally Disabled Services Day Training Agency and suggesting day‑training/integrated team services are the operational core.

Operational and unit economics are explicit in the claims data: T1024 shows 9.1K claims at $561 avg paid/claim generating $5.1M in revenue, while T2023 (Targeted case management, per month) reports 866 claims at $403 avg paid/claim for $349K, and S9128 (Speech therapy, in the home, per diem) is 61 claims at $64 avg for $3.9K. These volumes imply a predominantly encounter‑based delivery model with supplemental monthly case management as a secondary revenue stream.

Competitive standing for the dominant service is modest but solid in‑state: T1024 ranks #5 of 14 providers in Vermont (69th percentile) and is labeled as typical, unremarkable volume. This suggests the provider is a mid‑tier participant for integrated specialty team services statewide rather than a market leader or outlier.

For ancillary services the provider’s footprint is smaller: T2023 ranks #5 of 9 (50th percentile) and is described as typical, while S9128 ranks #18 of 20 (11th percentile), indicating minimal relative activity in home speech therapy. Together these ranks point to a focused programmatic offering with limited breadth across other recovery‑oriented service lines.

Several codes show nonzero claim counts but $0 in paid revenue (for example, H0024, T1016, S9445, T1027), which may reflect reporting of nonbillable activities, bundled payments, or administrative coding practices rather than direct revenue lines. Analysts should treat those items as indicators of programmatic activity that may not be separately reimbursed and investigate whether services are captured elsewhere in bundled rates or encounter codes.

The provider has a long tenure on file (NPI enumerated 2008-03-28, ~18 years ago), which supports institutional stability and likely established relationships with state Medicaid administrators. However, the combination of long tenure and extreme revenue concentration in T1024 means business risk is concentrated in maintaining that program’s authorization, rates, and referral flow.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	9,100	$560	$5.1M
T2023	Targeted case management; per month	870	$400	$349K
S9128	Speech therapy, in the home, per diem	60	$60	$3.9K
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	2,300	$0	$0
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	1,450	$0	$0
T1016	Case management, each 15 minutes	1,520	$0	$0
T1027	Family training and counseling for child development, per 15 minutes	3,880	$0	$0

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

Winston L. Prouty Center For Child Development, Inc. — 0 of 3 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	5	10	7,720	$560	$4.2M
T2023	Targeted case management; per month	5	10	870	$390	$292.1K
T1027	Family training and counseling for child development, per 15 minutes	4	10	2,700	$80	$213.5K
S9128	Speech therapy, in the home, per diem	18	20	350	$60	$58.3K
T1016	Case management, each 15 minutes	23	40	3,900	$1	$31.1K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	5	10	2,050	$1	$730
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	1	10	1,350	$0	$0

Nearby Providers

Other providers in the same ZIP code as Winston L. Prouty Center For Child Development, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rescue Inc.	VT	Ambulance	$1M	$3.3M
Brattleboro Memorial Hospital	VT	General Acute Care Hospital	$0	$2.4M
Habit Opco, LLC	VT	Substance Use Disorder Rehabilitation Clinic/Center	$463.1K	$1.5M
Lincare Inc.	VT	Durable Medical Equipment & Medical Supplies	$0	$915K
Windham County Dental Center Inc	VT	Dental Clinic/Center	$0	$621.8K
Youth Services, Inc.	VT	Mental Health Counselor	$0	$600.4K
Green Mountain Counseling Associates	VT	Mental Health Counselor	$0	$598.2K
Erin Berard	VT	Mental Health Counselor	$0	$571.5K
Timothy Whitney	VT	Mental Health Counselor	$0	$555.1K
James Carew	VT	Social Worker	$0	$489.1K

Winston L. Prouty Center For Child Development, Inc. — Billing Profile & Reimbursement Data

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Winston L. Prouty Center For Child Development, 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