Springfield Medical Care Systems INC
Springfield Medical Care Systems INC was paid $3.56M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
LUDLOW, VT 05149
Next to other Federally Qualified Health Center (FQHC) providers in Vermont
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,677 | $608K | |
| 2019 | 6,912 | $545K | |
| 2020 | 4,701 | $376K | |
| 2021 | 7,994 | $592K | |
| 2022 | 7,227 | $648K | |
| 2023 | 4,806 | $391K | |
| 2024incomplete | 6,639 | $403K |
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 | 98% | 21,263 | 17,334 | $3.50M |
| 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 | 1.5% | 1,933 | 1,601 | $52K |
| 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% | 8,948 | 8,145 | $3K |
| 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% | 6,022 | 5,449 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,635 | 1,374 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 413 | 321 | $44.65 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 38 | 32 | $34.48 |
| 3074F | <1% | 1,000 | 909 | $20.00 | |
| 3078F | <1% | 524 | 490 | $10.00 | |
| 2014F | 0% | 480 | 420 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 26 | 25 | $0.00 |
| 99173 | 0% | 17 | 16 | $0.00 |
9 more codes
| 3085F | 0% | 39 | $0.00 | |
| 96160 | 0% | 52 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 13 | $0.00 |
| 3008F | 0% | 1,611 | $0.00 | |
| 96127 | 0% | 498 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 249 | $0.00 |
| 3079F | 0% | 128 | $0.00 | |
| 3075F | 0% | 37 | $0.00 | |
| 99000 | 0% | 30 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Springfield Medical Care Systems INC | Springfield, VT | $13.28M |
| Springfield Medical Care Systems INC | Bellows Falls, VT | $7.75M |
| Littleton Hospital Association | Littleton, NH | $3.35M |
| Springfield Medical Care Systems INC | Charlestown, NH | $3.06M |
| Springfield Medical Care Systems INC | Londonderry, VT | $1.85M |
| Springfield Medical Care Systems INC | Ludlow, VT | $1.78M |
| Springfield Medical Care Systems INC | Springfield, VT | $687K |
| Springfield Medical Care Systems INC. | Springfield, VT | $366K |
| Springfield Medical Care Systems INC | Springfield, VT | $205K |
| Springfield Medical Care Systems INC | Springfield, VT | $143K |
| Springfield Medical Care Systems INC | Springfield, VT | $136K |
| Springfield Medical Care Systems INC | Springfield, VT | $99K |
| Springfield Hospital INC | Springfield, VT | $73K |
| Littleton Hospital Association | Littleton, NH | $56K |
| Springfield Medical Care Systems INC | Chester, VT | $55K |
| Springfield Medical Care Systems INC | Springfield, VT | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.