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.

Northeast Kingdom Human Services Inc Sbs (NPI 1902930878)

Field	Value
Entity Type	Organization
Organization	Northeast Kingdom Human Services Inc Sbs
Address	154 Duchess St
City	Newport
State	VT
ZIP	05855
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	March 15, 2007

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all reported revenue is Medicaid-based, totaling $8.3M in lifetime Medicaid revenue. The absence of Medicare activity means payer concentration and policy exposure are concentrated in the Medicaid program rather than split across payers.

Revenue is highly concentrated in a very small set of service lines: the precomputed top three Medicaid codes account for 99.7% of this provider's total Medicaid revenue. That concentration indicates the organization’s financial performance is tightly tied to reimbursement and utilization patterns for a handful of community behavioral health services.

The code mix (H2015, H2017, H0023) indicates an operation focused on community-based behavioral health interventions rather than traditional clinic-based psychiatric medicine. H2015 (Comprehensive community support services, per 15 minutes) and H2017 (Psychosocial rehabilitation services, per 15 minutes) are time-based per-15-minute services, consistent with high-frequency, short-unit encounters and a staff model oriented to repeated community sessions with adolescents and children.

H2015 is the dominant single revenue driver: 20.7K claims, $264 avg paid/claim, $5.5M revenue and representing 65.7% of this provider’s Medicaid revenue. Despite being the largest revenue source, this activity ranks #13 of 19 providers in-state (33th percentile) and is described as "typical, unremarkable volume for this code," meaning the provider relies heavily on H2015 but does not stand out as a state market leader on this service.

H2017 supplies a meaningful secondary revenue stream with 8.6K claims, $203 avg paid/claim and $1.7M revenue, comprising 21.0% of Medicaid revenue. This service ranks #14 of 28 providers in-state (52th percentile) and is also labeled "typical, unremarkable volume for this code," indicating the provider competes at a mid-range level for psychosocial rehabilitation capacity.

H0023 (Behavioral health outreach service) accounts for 1.3K claims, $809 avg paid/claim and $1.1M revenue (13.0% of Medicaid revenue). Although the average paid per claim is relatively high, the provider ranks #9 of 10 in-state (11th percentile) and the volume is characterized as "typical, unremarkable volume for this code," suggesting outreach is a higher-value but less-dominant part of the mix and is lower-volume compared with other in-state outreach providers.

Competitive standing across the top codes is modest: rank and percentile positions (33th, 52th, 11th) show the provider is neither a statewide leader nor an extreme outlier—its footprint is respectable but not dominant in Vermont’s Medicaid behavioral health market. Given the concentration in a few service lines, growth or contractions in community support, psychosocial rehab, or outreach reimbursements would disproportionately affect its market position.

The provider has long tenure in the registry, with NPI enumeration on 2007-03-15 (~19 years ago), indicating an established presence in the market. That longevity combined with heavy Medicaid dependence suggests operational experience in state behavioral health programs but also exposure to Medicaid policy and reimbursement changes over time.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	20,720	$260	$5.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	8,620	$200	$1.7M
H0023	Alcohol and/or drug outreach	1,340	$810	$1.1M
H2014	Skills training and development, per 15 minutes	450	$50	$24.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$70	$940

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

Northeast Kingdom Human Services Inc Sbs — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0023	Alcohol and/or drug outreach	9	10	6,170	$900	$8.7M
H2015	Comprehensive community support services, per 15 minutes	13	20	64,230	$90	$7.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	14	30	6,730	$110	$4.1M
H2014	Skills training and development, per 15 minutes	13	10	7,770	$60	$599.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	78	90	60	$50	$9.4K

Nearby Providers

Other providers in the same ZIP code as Northeast Kingdom Human Services Inc Sbs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Kingdom Human Services Inc Ds Waiver	VT	Developmental Disabilities Clinic/Center	$0	$204.7M
Baart Behavioral Health Services, Inc.	VT	Substance Use Disorder Rehabilitation Clinic/Center	$85.8K	$17.6M
Autism Advocacy And Intervention, LLC	VT	Behavior Analyst	$0	$7.8M
Newport Ambulance Service Inc.	VT	Land Ambulance	$743.2K	$2.9M
North Country Hospital & Health Center Inc	VT	Internal Medicine Physician	$0	$3.2M
North East Kingdom Community Action, Inc.	VT	Public Health or Welfare Agency	$0	$2.8M
Northeast Kingdom Human Services Inc Mh Children	VT	Adolescent and Children Mental Health Clinic/Center	$0	$2.7M
North Country Hospital & Health Center Inc	VT	Pediatrics Physician	$0	$2.2M
James V. Wyllie, Dds P.C.	VT	General Practice Dentistry	$0	$1.8M
Keene Medical Products, LLC	VT	Durable Medical Equipment & Medical Supplies	$0	$1.7M

Northeast Kingdom Human Services Inc Sbs — Billing Profile & Reimbursement Data

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Northeast Kingdom Human Services Inc Sbs — 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