Physician
Gifford Health Care, INC
Gifford Health Care, INC was paid $258K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 80305, — 28% of everything it billed.
33Billing provider infoGIFFORD HEALTH CARE, INC
RANDOLPH, VT 05060
RANDOLPH, VT 05060
33aNPI1013269430assigned 10/09/2012
33bProvider typeGeneral Practice Physician
28Total paid$258K
24GClaims17,584
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
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 | 3,045 | $38K | |
| 2019 | 2,554 | $30K | |
| 2020 | 2,420 | $27K | |
| 2021 | 2,554 | $31K | |
| 2022 | 2,034 | $29K | |
| 2023 | 1,030 | $14K | |
| 2024incomplete | 3,947 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80305 | 28% | 5,018 | 3,597 | $72K | |
| D0145 | Oral evaluation for a patient under three years of age | 13% | 1,046 | 1,004 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 467 | 401 | $32K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 11% | 2,121 | 2,063 | $29K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 11% | 294 | 187 | $29K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.7% | 3,786 | 3,180 | $20K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.2% | 101 | 89 | $13K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 5.1% | 397 | 386 | $13K |
| 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% | 35 | 33 | $3K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 130 | 38 | $3K |
| 90686 | 1.0% | 1,272 | 1,245 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 199 | 190 | $2K |
11 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 211 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 156 | $746.58 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 29 | $488.90 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 138 | $480.90 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 121 | $479.18 |
| 81025 | <1% | 29 | $223.86 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 1,712 | $105.60 |
| 0124A | <1% | 19 | $105.00 | |
| 90656 | <1% | 269 | $13.96 | |
| 91312 | <1% | 19 | $0.05 | |
| 90685 | 0% | 15 | $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 officialCOSTA, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gifford Health Care, INC | Randolph, VT | $8.43M |
| Gifford Health Care, INC | Barre, VT | $2.05M |
| Northern Counties Health Care, INC. | St Johnsbury, VT | $1.85M |
| Gifford Health Care, INC | Bethel, VT | $1.83M |
| Gifford Health Care, INC. | Randolph, VT | $934K |
| Gifford Health Care, INC | Chelsea, VT | $819K |
| Gifford Health Care, INC | Rochester, VT | $345K |
| Gifford Medical Center INC. | Randolph, VT | $218K |
| Gifford Health Care, INC | White River Junction, VT | $111K |
| Gifford Medical Center INC | Randolph, VT | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.