Physician
Community Health Centers of the Rutland Region INC
Community Health Centers of the Rutland Region INC was paid $20.66M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE RUTLAND REGION INC
RUTLAND, VT 05701
RUTLAND, VT 05701
33aNPI1467681114assigned 07/02/2009
33bProvider typeFamily Medicine Physician
28Total paid$20.66M
24GClaims383,236
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Vermont
Rank by total paid#1 of 53
Median peer was paid$77K
This provider vs. median267×
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 | 47,431 | $2.34M | |
| 2019 | 51,114 | $2.54M | |
| 2020 | 53,342 | $2.56M | |
| 2021 | 62,827 | $3.34M | |
| 2022 | 61,071 | $3.31M | |
| 2023 | 59,682 | $3.45M | |
| 2024incomplete | 47,769 | $3.13M |
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 | 87% | 108,958 | 93,791 | $17.92M |
| 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 | 8.4% | 81,635 | 46,161 | $1.73M |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.7% | 2,663 | 2,407 | $343K |
| 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% | 41,850 | 38,089 | $271K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,943 | 5,690 | $91K |
| 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% | 2,546 | 1,184 | $66K |
| 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% | 56,524 | 51,933 | $40K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 7,220 | 5,162 | $30K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,884 | 894 | $28K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 387 | 302 | $28K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 33,463 | 18,000 | $22K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 11,613 | 5,726 | $18K |
46 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,221 | $17K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,023 | $10K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 251 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 806 | $7K |
| 99307 | <1% | 13,833 | $5K | |
| 90686 | <1% | 1,825 | $5K | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,878 | $4K |
| 99306 | Prolong nursin fac eval 15m | <1% | 310 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 297 | $3K |
| 0003A | <1% | 57 | $2K | |
| 99318 | <1% | 111 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 378 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 440 | $923.07 |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 25 | $782.00 |
| 90480 | <1% | 59 | $614.00 | |
| 90682 | <1% | 41 | $480.33 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 82 | $472.90 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,132 | $395.66 |
| 99305 | <1% | 13 | $335.50 | |
| 90461 | <1% | 68 | $258.66 | |
| 81002 | <1% | 85 | $250.56 | |
| 91320 | <1% | 56 | $131.10 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 14 | $72.82 |
| 81003 | <1% | 28 | $51.29 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | $10.66 |
| 91300 | <1% | 104 | $1.04 | |
| 90674 | 0% | 25 | $0.00 | |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 28 | $0.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 38 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 151 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 117 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 89 | $0.00 |
| 90656 | 0% | 92 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 13 | $0.00 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 16 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 80 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 190 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 52 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 16 | $0.00 |
| 90715 | 0% | 70 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 196 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 17 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 152 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 25 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 15 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 16 | $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. | 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 |
| 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.