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.

Howard Center Inc (NPI 1952528408)

Field	Value
Entity Type	Organization
Organization	Howard Center Inc
Address	1138 Pine St
City	Burlington
State	VT
ZIP	05401
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	April 19, 2007

Payer Source	Total Paid
Medicaid	$130.1M
Medicare	$0

Key Findings

HOWARD CENTER INC is effectively a Medicaid-focused provider with $130.1M in lifetime Medicaid revenue and no Medicare billing on file; it functions as a single-payer operation from a reimbursement standpoint, making Medicaid policy and utilization shifts the primary drivers of its financial performance. The provider’s NPI has been enumerated since 2007-04-19 (~19 years ago), indicating a long-standing presence in the state market.

Revenue concentration is pronounced: the top 3 Medicaid codes (H0023, H2015, H2020) together account for 79.2% of this provider’s total Medicaid revenue. Individually those codes are reported as H0023 $39.4M (30.3%), H2015 $34.9M (26.9%), and H2020 $28.7M (22.1%), highlighting heavy dependence on a narrow set of community behavioral-health services.

The code mix shows an operational focus on community and outreach behavioral health for children and adolescents: H0023 (behavioral health outreach service), H2015 (comprehensive community support services per 15 minutes), and H2020 (therapeutic behavioral services per diem) together dominate revenue, implying the organization delivers high-volume outreach, time-based community support, and per-diem therapeutic care rather than procedure-driven or acute inpatient services. This pattern aligns with a service model centered on longitudinal community-based treatment and per-diem therapeutic programming.

Competitive standing is mixed across service lines: the provider is a statewide leader for H0023, ranking #1 of 10 providers in-state (100th percentile) and described as notably above typical state volume, which signals dominance in outreach services. For H2020 it also ranks #1 of 3 providers in-state (100th percentile) but the data labels that volume as typical/unremarkable, reflecting a small competitive set for per-diem therapeutic services. By contrast, H2015 is mid-market at #10 of 19 (50th percentile) and is characterized as typical, indicating average competition in comprehensive community support.

Several codes show episodic, high-dollar claims that supplement the time-based service mix: H0046 (mental health services, NOS) produced $3.2M in revenue with an average paid/claim of $8831, and H0019 (long-term residential, per diem, without room and board) generated $2.6M with an average paid/claim of $5581. Although these codes represent smaller shares (2.5% and 2.0% respectively), their high per-claim payments indicate occasional use of more intensive or residential interventions alongside the provider’s predominant community services.

Skills training and psychosocial rehabilitation represent meaningful ongoing care components: H2014 (skills training and development, per 15 minutes) produced $1.3M (1.0%) and ranks #2 of 14 providers in-state (92th percentile; notably above typical state volume), while H2017 (psychosocial rehabilitation, per 15 minutes) contributed $19.8M (15.2%) and ranks #6 of 28 (81th percentile; typical). These datapoints suggest a substantial investment in rehabilitative and habilitative session-based services relative to many in-state peers.

The concentration of revenue in a small set of community-behavioral codes creates both operational leverage and risk: dominance in H0023 gives the provider bargaining or programmatic strength in outreach, but reliance on three codes for 79.2% of Medicaid revenue makes the organization sensitive to utilization changes, rate adjustments, or policy shifts affecting those specific service lines. Absent Medicare billing, the organization has limited immediate exposure to adult fee-for-service Medicare revenue streams or dual-eligible payments, which constrains diversification opportunities.

From a market-analysis perspective, HOWARD CENTER’s long tenure (~19 years) combined with top statewide rankings for certain outreach and per-diem therapeutic codes positions it as an established, specialized provider of adolescent and children’s community mental health services in Vermont. Analysts should monitor state-level policy, reimbursement adjustments for H0023/H2015/H2020, and competitor movements in H2014 and H2017 to assess future revenue stability and growth prospects.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0023	Alcohol and/or drug outreach	37,180	$1,060	$39.4M
H2015	Comprehensive community support services, per 15 minutes	64,230	$540	$34.9M
H2020	Therapeutic behavioral services, per diem	79,200	$360	$28.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	68,340	$290	$19.8M
H0046	Mental health services, not otherwise specified	360	$8,830	$3.2M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	470	$5,580	$2.6M
H2014	Skills training and development, per 15 minutes	30,430	$40	$1.3M

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

Howard Center Inc — 2 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2020	Therapeutic behavioral services, per diem	1	10	60,190	$330	$16.4M
H0023	Alcohol and/or drug outreach	1	10	6,170	$900	$8.7M
H2015	Comprehensive community support services, per 15 minutes	10	20	64,230	$90	$7.1M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	4	10	510	$4,230	$6.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	6	30	6,730	$110	$4.1M
H0046	Mental health services, not otherwise specified	6	10	330	$1,360	$3.1M
H2014	Skills training and development, per 15 minutes	2	10	7,770	$60	$599.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Howard Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard Center Inc	VT	Developmentally Disabled Services Day Training Agency	$0	$1.8M
Nicholas Hunter	VT	Clinical Psychologist	$0	$581.2K
Brian Cina	VT	Clinical Social Worker	$0	$207.4K
Katrina Sliwka	VT	Mental Health Counselor	$0	$82.9K
Jenny Shen	VT	Psychiatry Physician	$25.7K	$0
Casey Comart	VT	Clinical Social Worker	$1.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard Center Inc	VT	Developmentally Disabled Services Day Training Agency	$0	$332.2M
Vermont Department Of Mental Health	VT	Adult Mental Health Clinic/Center	$0	$105.1M
Community Health Centers Of Burlington Inc	VT	Federally Qualified Health Center (FQHC)	$0	$39.8M
Howard Center Inc	VT	Methadone Clinic	$517.9K	$35M
Howard Center Inc	VT	State or Local Public Health Clinic/Center	$0	$23.4M
University Of Vermont Medical Center Inc	VT	Internal Medicine Physician	$0	$17.6M
Transition Ii	VT	Case Manager/Care Coordinator	$0	$17.3M
The Dental Center At Community Health Center Of Burlington	VT	Dental Clinic/Center	$0	$6.7M
City Of Burlington Vermont	VT	Land Ambulance	$677.2K	$4.3M
Spectrum, Inc.	VT	Addiction (Substance Use Disorder) Counselor	$0	$2.4M

Howard Center Inc — Billing Profile & Reimbursement Data

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Howard Center Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References