Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Community Health Centers of the Rutland Region, INC.

Community Health Centers of the Rutland Region, INC. was paid $13.61M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.

33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
RUTLAND, VT 05701
33aNPI1780969345assigned 10/14/2011
28Total paid$13.61M
24GClaims181,614
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Vermont

Rank by total paid#2 of 33
Median peer was paid$1.23M
This provider vs. median11×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201828,237$1.72M
201927,939$1.98M
202026,621$1.83M
202129,279$2.16M
202223,480$1.91M
202323,337$1.89M
2024incomplete22,721$2.12M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 96% 80,874 67,326 $13.03M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2.3% 2,793 2,149 $313K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 19,833 16,887 $123K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 1,086 1,039 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,041 959 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,503 1,345 $21K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 208 206 $19K
90461 <1% 6,774 6,280 $13K
0072A <1% 162 162 $6K
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% 24,312 21,832 $6K
90480 <1% 328 295 $5K
0071A <1% 94 93 $4K
38 more codes
87081 <1% 612 $4K
99214 Doctor's office visit, returning patient (more involved) <1% 11,282 $3K
99222 Initial hospital care, per day, moderate complexity <1% 12 $1K
83655 <1% 96 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 153 $698.64
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 4,279 $626.82
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 3,585 $493.61
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,274 $345.82
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 6,193 $338.78
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,051 $295.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 32 $24.62
91307 <1% 358 $3.55
91320 <1% 27 $0.10
90686 0% 5,244 $0.00
90677 0% 203 $0.00
90834 Psychotherapy session, about 45 minutes 0% 3,278 $0.00
90697 0% 379 $0.00
90651 0% 112 $0.00
99460 0% 32 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 0% 265 $0.00
90723 0% 230 $0.00
90656 0% 439 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 146 $0.00
36416 0% 12 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 49 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 29 $0.00
90670 0% 916 $0.00
90671 0% 283 $0.00
90633 0% 100 $0.00
90685 0% 111 $0.00
90791 Psychiatric diagnostic evaluation 0% 32 $0.00
90648 0% 527 $0.00
90832 Psychotherapy session, about 30 minutes 0% 98 $0.00
90681 0% 52 $0.00
90837 Psychotherapy session, about an hour 0% 36 $0.00
90661 0% 32 $0.00
90710 0% 12 $0.00
90734 0% 35 $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)
Same official

Other billing entities under GARDNER, MICHAEL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.