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.

The Family Place (NPI 1912078924)

Field	Value
Entity Type	Organization
Organization	The Family Place
Address	319 Us Route 5 S
City	Norwich
State	VT
ZIP	05055
Taxonomy	Home Health Agency
NPI Enumerated	November 13, 2006

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Key Findings

THE FAMILY PLACE shows an effectively single-payer billing profile: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-only, totaling $4.9M. This makes the organization heavily dependent on Medicaid reimbursements rather than the typical mixed Medicare/Medicaid payer mix many home health agencies have.

Revenue concentration is extreme: the precomputed top three Medicaid codes account for 99.8% of the provider’s total Medicaid revenue, with T1024 alone contributing $4.8M (98.1% of the provider’s total Medicaid revenue). This indicates the business’s financial performance is overwhelmingly driven by one service line and is therefore sensitive to changes in that code’s reimbursement or referral patterns.

The dominant code, T1024, corresponds to evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter. The prominence of T1024 (8.3K claims, $575 avg paid/claim) combined with material revenue concentration suggests THE FAMILY PLACE operates primarily as a pediatric-focused, coordinated-care/home-based specialty program rather than a general Medicare-oriented home health agency.

Despite T1024’s revenue dominance, the provider’s competitive standing for that code is middling statewide: T1024 ranks #6 of 14 providers in Vermont (62nd percentile) and is described as typical/unremarkable volume for this code. In other words, the provider is not a statewide leader for T1024 volume even though the code drives almost all of its revenue.

Ancillary Medicaid services appear at much smaller scale: S9128 (speech therapy, in the home) generated $58.3K (1.2% of Medicaid revenue) and ranks #5 of 20 providers in-state (79th percentile), indicating above-average state volume for in-home speech therapy but still a minor revenue contributor. Similarly, 97530 (therapeutic activities, 15-min units) accounts for $21.6K (0.4% of Medicaid revenue) and ranks #26 of 37 providers in-state (31st percentile), showing a modest presence in rehab services but not market-leading depth.

A notable administrative pattern is a sizeable number of claims with $0 average paid/claim across multiple codes: for example, T1016 shows 3.9K claims with $0 avg paid/claim, S9445 has 2.1K claims with $0 avg paid/claim, and T1017 shows 992 claims with $0 avg paid/claim. These zero-paid lines may reflect non-fee-for-service reporting, bundled/contracted arrangements, or state reporting conventions and imply that billed encounters and paid revenue do not align one-to-one for several service categories on the provider’s Medicaid submissions.

From a tenure standpoint, THE FAMILY PLACE’s NPI was enumerated on 2006-11-13 (approximately 20 years ago), indicating long-standing operation in the market; however, longevity has not translated into broad payer diversification or statewide dominance, given the concentrated Medicaid revenue base and middling percentile ranks on its top codes. This combination suggests operational stability but also strategic exposure to changes affecting its principal Medicaid-funded service lines.

Medicaid: Complete Services Breakdown

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

12 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	8,300	$580	$4.8M
S9128	Speech therapy, in the home, per diem	1,020	$60	$58.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	230	$100	$21.6K
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…	120	$80	$9.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	20	$60	$1.3K
H2017	Psychosocial rehabilitation services, per 15 minutes	490	$0	$0
H2019	Therapeutic behavioral services, per 15 minutes	50	$0	$0
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	2,090	$0	$0
T1016	Case management, each 15 minutes	3,900	$0	$0
T1017	Targeted case management, each 15 minutes	990	$0	$0

Showing 1–10 of 12

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

The Family Place — 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

12 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	6	10	7,720	$560	$4.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	21	30	6,730	$110	$4.1M
T1027	Family training and counseling for child development, per 15 minutes	11	10	2,700	$80	$213.5K
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…	560	670	760	$70	$143.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	26	40	370	$90	$133.5K
T1017	Targeted case management, each 15 minutes	12	20	1,580	$30	$102.9K
S9128	Speech therapy, in the home, per diem	5	20	350	$60	$58.3K
H2019	Therapeutic behavioral services, per 15 minutes	8	10	260	$50	$34.1K
T1016	Case management, each 15 minutes	19	40	3,900	$1	$31.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	33	40	130	$40	$25.3K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as The Family Place, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Just Kids Pediatric Dentistry, Plc	VT	Pediatric Dentistry	$0	$1.5M
Susan Tucker	VT	Psychiatry Physician	$36K	$0

The Family Place — Billing Profile & Reimbursement Data

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The Family Place — 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