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 1891013793)

Field	Value
Entity Type	Organization
Organization	Lamoille Health Partners, Inc
Address	66 Morrisville Plz
City	Morrisville
State	VT
ZIP	05661
Taxonomy	Dentist
NPI Enumerated	May 17, 2010

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	2,380	$130	$309.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,530	$50	$281.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9,690	$20	$193.8K
D0120	Periodic oral evaluation - established patient	6,560	$30	$170.7K
D1120	Prophylaxis–child	4,470	$40	$169.7K
D0140	Limited oral evaluation – problem focused	2,880	$40	$118K
D0274	N/A	2,970	$30	$95.2K
D2391	Resin‑based composite – one surface, posterior	950	$90	$83.8K
D0150	Comprehensive oral evaluation – new or established patient	1,430	$40	$62.9K
D0330	N/A	720	$70	$51.8K

Showing 1–10 of 21

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 18 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	8	60	610	$130	$155.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	20	50	400	$80	$101.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	10	150	540	$50	$73.5K
D1351	Sealant - per tooth	25	40	480	$20	$63.9K
D2391	Resin‑based composite – one surface, posterior	13	50	310	$90	$62.9K
D9230	N/A	16	20	500	$50	$59.7K
D1120	Prophylaxis–child	14	110	220	$40	$59.2K
D0120	Periodic oral evaluation - established patient	15	160	720	$30	$57.8K
D4346	N/A	15	20	260	$70	$54.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9	120	500	$20	$53.5K

Showing 1–10 of 21

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	Cognitive & Behavioral Psychologist	$0	$10.5M
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
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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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References