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.

Brian Ashley, Ma, Plc (NPI 1851809099)

Field	Value
Entity Type	Organization
Organization	Brian Ashley, Ma, Plc
Address	75 Talcott Rd Ste 30
City	Williston
State	VT
ZIP	05495
Taxonomy	Psychologist
NPI Enumerated	January 22, 2018

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	12,940	$80	$996.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	60	$80	$4.3K
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…	20	$50	$1.2K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	70	$10	$550

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

Brian Ashley, Ma, Plc — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	12	670	760	$70	$143.9K
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…	141	170	360	$20	$35.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	45	90	60	$50	$9.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	12	20	200	$10	$2.7K

Nearby Providers

Other providers in the same ZIP code as Brian Ashley, Ma, Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Care Health Partners - Vermont LLP	VT	Family Medicine Physician	$0	$2.8M
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
Thomas Chittenden Health Center, Plc	VT	Family Medicine Physician	$0	$288.9K
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

Brian Ashley, Ma, Plc — Billing Profile & Reimbursement Data

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Brian Ashley, Ma, 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

Nearby Providers

Frequently Asked Questions

References