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

Alice Peck Day Memorial Hospital

Alice Peck Day Memorial Hospital was paid $2.09M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoALICE PECK DAY MEMORIAL HOSPITAL
LEBANON, NH 03766
33aNPI1003803495assigned 09/30/2005
33bProvider typeMental Health Counselor
28Total paid$2.09M
24GClaims50,459
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Mental Health Counselor providers in New Hampshire

Rank by total paid#5 of 91
Median peer was paid$40K
This provider vs. median52×

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$25K$50K$75K2018201920202021202220232024
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
20183,708$78K
20196,969$176K
20208,517$330K
202112,971$553K
202210,200$515K
20234,913$251K
2024incomplete3,181$184K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 32% 12,741 9,629 $674K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 26% 4,704 3,599 $540K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 1,744 1,393 $316K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.7% 693 415 $118K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.7% 1,962 1,668 $97K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.8% 2,826 1,639 $58K
90460 Immunization administration through 18 years of age via any route, first or only component 1.5% 1,966 1,769 $31K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.4% 514 400 $29K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,428 1,982 $21K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 172 120 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 231 191 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 216 194 $16K
77 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,673 $13K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 268 $13K
99215 Doctor's office visit, returning patient (complex) <1% 185 $12K
80053 Comprehensive metabolic panel <1% 1,959 $11K
84443 Thyroid stimulating hormone (TSH) <1% 946 $9K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 106 $7K
96361 Intravenous infusion, hydration; each additional hour <1% 67 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 77 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 77 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 589 $4K
99204 Doctor's office visit, new patient (more involved) <1% 61 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 113 $4K
80061 Lipid panel <1% 427 $4K
80048 Basic metabolic panel (calcium, ionized) <1% 1,000 $4K
71046 Radiologic examination, chest; 2 views <1% 46 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 595 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 37 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 131 $3K
90686 <1% 959 $3K
71045 Radiologic examination, chest; single view <1% 56 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 131 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 75 $2K
0002A <1% 58 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 13 $2K
99205 Prolong outpt/office vis <1% 27 $2K
36415 Collection of venous blood by venipuncture <1% 4,222 $2K
0064A <1% 65 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 25 $1K
J7120 Ringers lactate infusion, up to 1000 cc <1% 339 $1K
0001A <1% 33 $1K
0004A <1% 59 $1K
80306 <1% 118 $1K
0072A <1% 55 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 16 $1K
96375 Therapeutic injection; each additional sequential IV push <1% 18 $979.65
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 26 $926.20
0071A <1% 49 $850.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 243 $773.58
87631 <1% 16 $763.58
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 22 $692.26
81001 <1% 364 $647.08
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 228 $585.34
96127 <1% 96 $550.98
86803 <1% 39 $437.47
87086 Culture, bacterial; quantitative colony count, urine <1% 127 $421.32
99443 <1% 42 $377.87
83690 <1% 87 $354.00
84484 <1% 50 $290.90
0054A <1% 15 $281.46
92015 Determination of refractive state <1% 19 $237.69
90656 <1% 67 $213.07
87070 <1% 30 $164.48
90472 Immunization administration, each additional vaccine (list separately) <1% 16 $164.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 17 $141.09
90480 <1% 15 $131.32
87400 <1% 26 $122.78
86140 <1% 34 $117.19
87077 <1% 15 $90.80
85027 <1% 44 $86.14
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 97 $83.53
83550 <1% 13 $82.28
87081 <1% 18 $61.32
83540 <1% 13 $61.06
81003 <1% 51 $46.45
J7050 Infusion, normal saline solution, 250 cc <1% 24 $41.22
G0008 Administration of influenza virus vaccine <1% 62 $40.55
J3010 Injection, fentanyl citrate, 0.1 mg <1% 19 $34.50
85652 <1% 15 $27.68
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 17 $24.97
J7030 Infusion, normal saline solution , 1000 cc <1% 17 $23.65
90461 <1% 127 $22.77
91300 <1% 208 $0.84
91307 <1% 149 $0.60
91306 <1% 65 $0.30
91305 <1% 27 $0.10
90670 0% 13 $0.00
90688 0% 14 $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 officialMOONEY, SUSAN (CEO/PRESIDENT)
Parent organizationALICE PECK DAY MEMORIAL HOSPITAL
Same official

Other billing entities under MOONEY, SUSAN

Full network →
ProviderLocationPaid
Alice Peck Day Memorial HospitalLebanon, NH$179K
Alice Peck Day Memorial HospitalLebanon, NH$20K
Alice Peck Day Memorial HospitalLebanon, NH$1K

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