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.

Clara Martin Center (NPI 1902944846)

Field	Value
Entity Type	Organization
Organization	Clara Martin Center
Address	11 S Main St
City	Randolph
State	VT
ZIP	05060
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicaid	$807.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1,670	$140	$235K
H0005	Alcohol and/or drug services; group counseling by a clinician	3,290	$70	$223.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	1,910	$90	$166.3K
T1016	Case management, each 15 minutes	4,620	$30	$115.5K
H0006	Alcohol and/or drug services; case management	2,170	$30	$58.6K
H0001	Alcohol and/or drug assessment	50	$180	$8.8K

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

Clara Martin Center — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	4	10	660	$120	$303.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	7	20	1,410	$80	$247.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	5	10	630	$60	$243.1K
H0006	Alcohol and/or drug services; case management	3	10	970	$20	$35.5K
H0001	Alcohol and/or drug assessment	6	10	160	$150	$31.2K
T1016	Case management, each 15 minutes	17	40	3,900	$1	$31.1K

Nearby Providers

Other providers in the same ZIP code as Clara Martin Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clara Martin Center	VT	Community/Behavioral Health Agency	$0	$11.8M
Gifford Health Care, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$8.4M
Gifford Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$935.6K
Jessica Heney	VT	Family Medicine Physician	$0	$273.6K
Gifford Health Care, Inc	VT	General Practice Physician	$0	$256.1K
Gifford Medical Center Inc.	VT	General Acute Care Hospital	$0	$218.4K
Shana Kotelchuck	VT	Clinical Social Worker	$0	$212.8K
Maxi Green Inc	VT	Community/Retail Pharmacy	$163.2K	$0
Resonant Medicine	VT	Naturopath	$0	$86.5K
Marjorie Crowe	VT	Clinical Social Worker	$27.7K	$51.2K

Clara Martin Center — Billing Profile & Reimbursement Data

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Clara Martin Center — 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