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.

Windsor Hospital Corporation (NPI 1922095918)

Windsor Hospital Corporation is a critical access hospital provider located in Windsor, Vermont. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Windsor Hospital Corporation
Address	289 County Rd
City	Windsor
State	VT
ZIP	05089
Taxonomy	Critical Access Hospital
NPI Enumerated	October 4, 2005

Payer Source	Total Paid
Medicaid	$56.5K
Medicare	$0

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	270	$70	$18.8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	100	$90	$9.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,140	$10	$9.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	990	$10	$4.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	1,130	$1	$4.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,020	$1	$4K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	340	$10	$2.1K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	80	$20	$1.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	590	$1	$1.8K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	30	$10	$250

Showing 1–10 of 13

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

Windsor Hospital Corporation — 0 of 10 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	26	30	830	$40	$232.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	30	1,150	$30	$147K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	139	320	680	$30	$146.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	146	320	760	$20	$88.2K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	4	10	170	$20	$19.2K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	1	10	270	$70	$18.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	9	20	670	$10	$18.1K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	7	10	370	$30	$16.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	21	20	180	$40	$15.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	13	20	1,130	$1	$8.6K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Windsor Hospital Corporation	VT	Internal Medicine Physician	$0	$524.3K
Gregory Aprilliano	NH	Certified Registered Nurse Anesthetist	$0	$478K
Jose Peraza	NH	Dermatology Physician	$378.5K	$0
David Lawlor	NH	Ophthalmology Physician	$180.1K	$5.1K
Lauren Pallet	VT	Optometrist	$0	$166.4K
Donald Miller	NH	Ophthalmology Physician	$144.5K	$0
Sivashakthi Maeder	NH	Ophthalmology Physician	$119.7K	$0
Shawn Ahmad	NH	Cardiovascular Disease Physician	$98.9K	$0
Nicholas Buss	OR	Interventional Cardiology Physician	$90.8K	$0
Sarah Zwikelmaier	VT	Mental Health Counselor	$0	$86.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Valley Addiction Recovery, Inc	VT	Addiction Medicine (Internal Medicine) Physician	$0	$1.3M
Connecticut Valley Recovery Services, Inc.	VT	Addiction Medicine (Internal Medicine) Physician	$0	$999.1K
Town Of Windsor	VT	Land Ambulance	$251.6K	$260K
Barbara Spear	VT	Gerontology Clinical Nurse Specialist	$292K	$0
Maxi Green Inc	VT	Community/Retail Pharmacy	$145.7K	$0
William Diez	VT	Occupational Therapist	$70.1K	$0
Alden Hall	VT	Hospitalist Physician	$60.8K	$0
Maurice Paquette	VT	Physician Assistant	$50.4K	$0
Heidi Cruz	VT	Physical Medicine & Rehabilitation Physician	$48.1K	$0
John Jackson	VT	Certified Registered Nurse Anesthetist	$34.1K	$0

Windsor Hospital Corporation — Billing Profile & Reimbursement Data

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Windsor Hospital Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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