Community Health Centers of the Rutland Region, INC.
Community Health Centers of the Rutland Region, INC. was paid $4.25M by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
RUTLAND, VT 05701
RUTLAND, VT 05701
33aNPI1225400237assigned 10/29/2015
33bProvider typeOptometrist
28Total paid$4.25M
24GClaims53,072
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in Vermont
Rank by total paid#1 of 55
Median peer was paid$39K
This provider vs. median108×
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 | 9,500 | $604K | |
| 2019 | 7,889 | $615K | |
| 2020 | 9,151 | $707K | |
| 2021 | 9,623 | $743K | |
| 2022 | 7,810 | $677K | |
| 2023 | 4,074 | $395K | |
| 2024incomplete | 5,025 | $509K |
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 | 99% | 25,921 | 16,643 | $4.19M |
| 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 | <1% | 3,721 | 3,274 | $16K |
| 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% | 917 | 706 | $14K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 772 | 495 | $10K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 5,157 | 2,816 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12,672 | 8,491 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 822 | 784 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 678 | 439 | $2K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 61 | 39 | $1K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 362 | 357 | $625.09 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 643 | 421 | $37.43 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 837 | 712 | $34.48 |
1 more codes
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 509 | $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 (CEO)
Parent organizationCOMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
| 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. | West Pawlet, VT | $3.84M |
| 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.