Physician
Community Health Centers of the Rutland Region, INC
Community Health Centers of the Rutland Region, INC was paid $1.15M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC
SHOREHAM, VT 05770
SHOREHAM, VT 05770
33aNPI1811241094assigned 11/09/2012
33bProvider typeFamily Medicine Physician
28Total paid$1.15M
24GClaims13,386
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Vermont
Rank by total paid#9 of 53
Median peer was paid$77K
This provider vs. median15×
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 | 1,784 | $125K | |
| 2019 | 1,808 | $136K | |
| 2020 | 2,600 | $209K | |
| 2021 | 2,381 | $179K | |
| 2022 | 1,223 | $104K | |
| 2023 | 2,042 | $209K | |
| 2024incomplete | 1,548 | $185K |
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 | 97% | 6,641 | 4,808 | $1.11M |
| 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 | 2.2% | 3,031 | 2,518 | $25K |
| 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% | 856 | 555 | $7K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,290 | 725 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 342 | 197 | $796.31 |
| 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% | 1,086 | 934 | $663.20 |
| 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% | 12 | 12 | $381.08 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 34 | 13 | $294.56 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | 12 | $118.10 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 15 | 15 | $25.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 33 | 27 | $9.00 |
| 90686 | 0% | 27 | 25 | $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 |
| Community Health Centers of the Rutland Region, INC. | West Pawlet, VT | $3.84M |
| Warsaw-Lincoln Ambulance District | Warsaw, MO | $2.05M |
| 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.