Clinic
Community Health Centers of the Rutland Region, INC.
Community Health Centers of the Rutland Region, INC. was paid $3.84M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
WEST PAWLET, VT 05775
WEST PAWLET, VT 05775
33aNPI1104870922assigned 05/19/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.84M
24GClaims48,060
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Vermont
Rank by total paid#11 of 33
Median peer was paid$1.23M
This provider vs. median3.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,404 | $393K | |
| 2019 | 5,896 | $409K | |
| 2020 | 5,507 | $408K | |
| 2021 | 8,862 | $702K | |
| 2022 | 7,953 | $650K | |
| 2023 | 7,936 | $669K | |
| 2024incomplete | 6,502 | $610K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 71% | 16,756 | 13,451 | $2.74M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 13,834 | 12,024 | $514K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 9,772 | 8,666 | $434K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.4% | 696 | 671 | $94K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 953 | 917 | $14K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,899 | 1,739 | $10K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 430 | 266 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 110 | 103 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 557 | 534 | $5K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 14 | 14 | $2K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,632 | 1,029 | $2K |
| 90686 | <1% | 885 | 869 | $2K |
13 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 63 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $1K |
| 0003A | <1% | 14 | $558.80 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 29 | $413.95 |
| 99173 | <1% | 143 | $342.48 | |
| 90461 | <1% | 18 | $103.52 | |
| 91300 | <1% | 64 | $0.24 | |
| 90651 | <1% | 26 | $0.04 | |
| 94760 | 0% | 12 | $0.00 | |
| 90656 | 0% | 31 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 63 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 33 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGARDNER, MICHAEL (FINANCE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Health Centers of the Rutland Region INC | Rutland, VT | $20.66M |
| Community Health Centers of the Rutland Region, INC. | Bomoseen, VT | $14.99M |
| Community Health Centers of the Rutland Region, INC. | Rutland, VT | $13.61M |
| Community Health Centers of the Rutland Region, INC. | Brandon, VT | $4.27M |
| Community Health Centers of the Rutland Region, INC. | Rutland, VT | $4.25M |
| Warsaw-Lincoln Ambulance District | Warsaw, MO | $2.05M |
| Community Health Centers of the Rutland Region, INC | Shoreham, VT | $1.15M |
| Leaver and Gardner Orthodontics LLC | Las Vegas, NV | $104K |
| Gardner Dental Corporation | Ontario, CA | $17K |
| Gardner Orthodontics | Pahrump, NV | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.