Physician
Central Vermont Medical Center INC
Central Vermont Medical Center INC was paid $4.10M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoCENTRAL VERMONT MEDICAL CENTER INC
BERLIN, VT 05602
BERLIN, VT 05602
33aNPI1023028784assigned 08/08/2006
33bProvider typePsychiatry Physician
28Total paid$4.10M
24GClaims273,910
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Vermont
Rank by total paid#1 of 18
Median peer was paid$52K
This provider vs. median78×
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 | 44,336 | $1.04M | |
| 2019 | 39,470 | $750K | |
| 2020 | 27,762 | $311K | |
| 2021 | 32,106 | $548K | |
| 2022 | 35,340 | $556K | |
| 2023 | 46,959 | $543K | |
| 2024incomplete | 47,937 | $350K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 72,010 | 65,569 | $1.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 72,236 | 67,010 | $1.24M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.1% | 9,518 | 9,071 | $208K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 7,407 | 2,448 | $118K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 1,529 | 1,366 | $109K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.1% | 3,201 | 3,038 | $87K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 2,840 | 2,510 | $80K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 5,641 | 5,309 | $67K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.6% | 3,878 | 3,651 | $66K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.2% | 4,506 | 4,311 | $51K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 9,925 | 9,631 | $44K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,810 | 2,636 | $41K |
88 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 19,507 | $37K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,510 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,546 | $30K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,812 | $29K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,486 | $29K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 897 | $19K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,108 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 937 | $13K |
| 90461 | <1% | 940 | $13K | |
| 90838 | <1% | 302 | $12K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 793 | $11K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,369 | $10K |
| 90480 | <1% | 245 | $9K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 854 | $8K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 748 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 754 | $7K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 190 | $6K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 143 | $6K |
| 99223 | Prolong inpt eval add15 m | <1% | 183 | $5K |
| 90686 | <1% | 7,973 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 872 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 779 | $4K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 264 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 128 | $3K |
| 99310 | Prolong nursin fac eval 15m | <1% | 108 | $3K |
| 95251 | <1% | 718 | $3K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 296 | $2K |
| 91322 | <1% | 30 | $2K | |
| 80305 | <1% | 908 | $1K | |
| 92504 | <1% | 470 | $1K | |
| 91321 | <1% | 87 | $1K | |
| 96127 | <1% | 1,956 | $902.02 | |
| 92567 | <1% | 333 | $859.26 | |
| 90836 | <1% | 25 | $852.40 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 342 | $736.79 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 28 | $684.29 |
| 0111A | <1% | 19 | $520.00 | |
| 92588 | <1% | 100 | $509.41 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 63 | $487.01 |
| 31231 | <1% | 12 | $484.11 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 39 | $439.87 |
| 95886 | <1% | 54 | $411.76 | |
| 20610 | <1% | 46 | $364.84 | |
| 81025 | <1% | 63 | $336.21 | |
| 80061 | Lipid panel | <1% | 172 | $318.87 |
| 99443 | <1% | 17 | $278.82 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 161 | $254.49 |
| 59025 | Fetal non-stress test | <1% | 15 | $248.21 |
| 92557 | <1% | 26 | $216.92 | |
| 99442 | <1% | 33 | $171.75 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $108.24 |
| 93000 | <1% | 29 | $94.00 | |
| 99307 | <1% | 18 | $75.56 | |
| 93016 | <1% | 28 | $73.45 | |
| 81003 | <1% | 41 | $72.02 | |
| T1018 | School-based individualized education program (iep) services, bundled | <1% | 141 | $64.65 |
| 93018 | <1% | 28 | $64.15 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12 | $47.95 |
| 96160 | <1% | 241 | $42.65 | |
| 31575 | <1% | 12 | $39.77 | |
| 85018 | <1% | 41 | $22.89 | |
| 92551 | <1% | 25 | $18.74 | |
| 99173 | <1% | 90 | $9.53 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $8.67 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 861 | $3.19 |
| 91311 | <1% | 54 | $0.43 | |
| 3074F | 0% | 9,918 | $0.00 | |
| 36416 | 0% | 1,611 | $0.00 | |
| 3079F | 0% | 371 | $0.00 | |
| 90656 | 0% | 653 | $0.00 | |
| 90651 | 0% | 138 | $0.00 | |
| 90698 | 0% | 417 | $0.00 | |
| 3075F | 0% | 50 | $0.00 | |
| 82962 | 0% | 178 | $0.00 | |
| 90697 | 0% | 42 | $0.00 | |
| 90677 | 0% | 14 | $0.00 | |
| 90619 | 0% | 15 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 3078F | 0% | 9,899 | $0.00 | |
| 90670 | 0% | 467 | $0.00 | |
| 90671 | 0% | 81 | $0.00 | |
| 90685 | 0% | 223 | $0.00 | |
| 3077F | 0% | 53 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90734 | 0% | 38 | $0.00 | |
| 91300 | 0% | 30 | $0.00 | |
| 90681 | 0% | 24 | $0.00 | |
| 90633 | 0% | 38 | $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 officialHOLLAND, CHEYENNE (CFO)
Parent organizationCVMC MEDICAL GROUP PRACTICES
| Provider | Location | Paid |
|---|---|---|
| Central Vermont Medical Center INC | Berlin, VT | $901K |
| Central Vermont Medical Center INC | Berlin, VT | $224K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.