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

Mary Hitchcock Memorial Hospital

Mary Hitchcock Memorial Hospital was paid $32.31M by Medicaid between Jan 2018 and Dec 2024, across 540 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.

33Billing provider infoMARY HITCHCOCK MEMORIAL HOSPITAL
LEBANON, NH 03756
33aNPI1023092053assigned 12/02/2005
28Total paid$32.31M
24GClaims1,291,441
24DCodes billed540
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in New Hampshire

Rank by total paid#1 of 34
Median peer was paid$13K
This provider vs. median2,422×

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$500K$1.0M2018201920202021202220232024
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
2018244,485$5.44M
2019294,002$6.12M
2020214,933$4.75M
2021213,845$5.37M
2022211,544$5.58M
202372,580$2.97M
2024incomplete40,052$2.08M
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 18% 105,611 88,140 $5.76M
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 8.9% 1,760 1,220 $2.87M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.2% 50,195 43,699 $2.01M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.9% 13,179 11,287 $925K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.8% 3,939 3,113 $891K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.5% 5,199 4,091 $817K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2.3% 1,744 1,419 $741K
G0378 Hospital observation service, per hour 2.2% 5,487 2,105 $713K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.0% 1,776 1,470 $644K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.9% 12,973 11,320 $625K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.8% 6,327 5,851 $592K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1.5% 361 248 $489K
528 more codes
70551 Magnetic resonance imaging, brain; without contrast material 1.3% 1,098 $433K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.3% 46,734 $424K
99203 Doctor's office visit, new patient (routine) 1.3% 7,630 $417K
A0436 Rotary wing air mileage, per statute mile 1.3% 587 $408K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.1% 5,191 $370K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.1% 10,093 $344K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.0% 1,296 $325K
84443 Thyroid stimulating hormone (TSH) <1% 31,230 $306K
80053 Comprehensive metabolic panel <1% 48,058 $304K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 8,132 $291K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 1,220 $288K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,214 $274K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 7,157 $273K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 60,375 $266K
99283 Emergency room visit (moderate) <1% 2,086 $255K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 12,400 $255K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 12,371 $252K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,161 $238K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 11,647 $226K
70450 Computed tomography, head or brain; without contrast material <1% 1,246 $202K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,435 $194K
80061 Lipid panel <1% 18,475 $184K
J9271 Injection, pembrolizumab, 1 mg <1% 57 $179K
96375 Therapeutic injection; each additional sequential IV push <1% 5,078 $170K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 7,209 $163K
87631 <1% 2,387 $154K
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% 6,247 $145K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,523 $144K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 2,350 $141K
92060 <1% 4,159 $135K
96361 Intravenous infusion, hydration; each additional hour <1% 2,016 $124K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 832 $123K
71046 Radiologic examination, chest; 2 views <1% 3,178 $118K
83036 Hemoglobin; glycosylated (A1C) <1% 17,528 $117K
81229 <1% 410 $111K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 6,974 $107K
99244 Office or other outpatient consultation, moderate to high complexity <1% 1,332 $106K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 675 $99K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 4,420 $91K
99205 Prolong outpt/office vis <1% 822 $91K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 494 $90K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 3,144 $87K
99243 <1% 1,232 $86K
76770 <1% 927 $86K
J2704 Injection, propofol, 10 mg <1% 9,483 $85K
82728 <1% 8,982 $84K
80048 Basic metabolic panel (calcium, ionized) <1% 18,515 $84K
96112 <1% 1,027 $79K
92567 <1% 8,152 $77K
84439 <1% 11,930 $76K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 4,189 $75K
93325 <1% 888 $70K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,352 $69K
86003 <1% 1,595 $69K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 5,711 $68K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 6,836 $67K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 879 $66K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 874 $63K
86803 <1% 6,083 $63K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 1,478 $62K
87522 Neg quan hep c or qual rna <1% 1,863 $61K
90792 Psychiatric diagnostic evaluation with medical services <1% 970 $60K
83970 <1% 2,553 $59K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 236 $57K
84702 <1% 4,790 $55K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 729 $55K
87536 <1% 1,307 $55K
96415 <1% 1,398 $54K
87086 Culture, bacterial; quantitative colony count, urine <1% 11,841 $54K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 730 $53K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 123 $52K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,072 $52K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 3,454 $52K
86480 <1% 1,179 $50K
82607 <1% 6,407 $50K
82784 <1% 6,066 $50K
36415 Collection of venous blood by venipuncture <1% 110,412 $49K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 794 $49K
94010 <1% 1,805 $49K
86780 <1% 4,924 $48K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,755 $48K
83516 <1% 4,802 $47K
83550 <1% 7,636 $45K
92015 Determination of refractive state <1% 4,961 $44K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 583 $44K
87070 <1% 6,517 $44K
78815 Positron emission tomography (PET) for limited area imaging <1% 62 $44K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,796 $43K
72141 <1% 129 $43K
86850 <1% 5,413 $43K
80076 <1% 8,154 $43K
64615 <1% 740 $42K
85027 <1% 8,789 $42K
84403 <1% 2,236 $41K
92582 <1% 1,049 $41K
67028 Intravitreal injection of a pharmacologic agent <1% 543 $41K
86235 <1% 603 $39K
73560 <1% 744 $39K
88341 <1% 745 $39K
87340 <1% 5,323 $38K
83655 <1% 3,678 $38K
87077 <1% 5,288 $36K
99245 <1% 348 $36K
90834 Psychotherapy session, about 45 minutes <1% 921 $34K
83540 <1% 7,772 $34K
71250 <1% 253 $33K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 519 $31K
31231 <1% 424 $31K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,229 $30K
73610 <1% 736 $30K
82746 <1% 3,058 $30K
80050 General health panel <1% 3,938 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 982 $29K
93017 <1% 299 $28K
87186 <1% 4,435 $28K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 3,759 $28K
86140 <1% 7,980 $27K
71275 Computed tomographic angiography, chest, with contrast material <1% 93 $27K
95816 <1% 196 $27K
93000 <1% 1,962 $27K
92134 <1% 3,334 $26K
92556 <1% 1,088 $26K
83880 <1% 1,815 $26K
90847 Family psychotherapy with the patient present, 50 minutes <1% 382 $26K
92083 <1% 1,096 $25K
73030 <1% 722 $25K
J2469 Injection, palonosetron hcl, 25 mcg <1% 1,065 $25K
73630 <1% 602 $25K
91120 <1% 113 $24K
86762 <1% 2,383 $24K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,361 $24K
86618 <1% 2,262 $24K
74183 <1% 65 $24K
82670 <1% 1,045 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 318 $22K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 479 $22K
86706 <1% 2,801 $22K
82105 <1% 1,804 $22K
74018 <1% 411 $21K
94729 <1% 518 $21K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 57 $21K
82570 <1% 5,535 $21K
83735 <1% 5,560 $21K
88342 <1% 1,933 $20K
99152 <1% 1,500 $20K
81001 <1% 9,305 $20K
90686 <1% 4,493 $20K
90837 Psychotherapy session, about an hour <1% 539 $19K
97162 <1% 738 $19K
93226 <1% 220 $18K
83001 <1% 1,258 $18K
83690 <1% 4,242 $18K
85610 <1% 7,847 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 499 $17K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 4,966 $17K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 93 $17K
84146 <1% 1,120 $17K
91322 <1% 128 $17K
72100 <1% 305 $17K
96411 <1% 237 $16K
93321 <1% 413 $16K
84402 <1% 911 $16K
96376 <1% 735 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 373 $16K
A0425 Ground mileage, per statute mile <1% 62 $16K
85652 <1% 8,430 $16K
71045 Radiologic examination, chest; single view <1% 441 $16K
73110 <1% 358 $16K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 344 $15K
82043 <1% 4,036 $15K
86038 <1% 1,822 $15K
73130 <1% 310 $15K
99153 Mod sedat endo service >5yrs <1% 1,323 $15K
87899 <1% 1,476 $15K
83993 <1% 775 $15K
92504 <1% 1,051 $15K
87905 <1% 1,266 $14K
J0690 Injection, cefazolin sodium, 500 mg <1% 4,541 $14K
D7240 Removal of impacted tooth - completely bony <1% 351 $14K
83002 <1% 958 $14K
97803 <1% 436 $14K
95811 <1% 79 $14K
87147 <1% 2,192 $13K
20610 <1% 295 $13K
86704 <1% 1,558 $13K
C1769 Guide wire <1% 1,403 $13K
84153 <1% 1,288 $13K
88307 <1% 507 $13K
92250 <1% 890 $12K
96111 <1% 263 $12K
73502 <1% 407 $12K
83520 <1% 1,225 $12K
77067 Screening mammography, bilateral, including computer-aided detection <1% 192 $12K
84484 <1% 2,124 $11K
95953 <1% 38 $11K
81329 <1% 463 $11K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 70 $11K
82565 <1% 3,645 $10K
J7120 Ringers lactate infusion, up to 1000 cc <1% 12,576 $10K
86376 <1% 989 $10K
86900 <1% 5,436 $10K
82950 <1% 2,840 $10K
96417 <1% 334 $10K
76830 Ultrasound, transvaginal <1% 121 $10K
99417 Prolong home eval add 15m <1% 123 $10K
86901 <1% 5,436 $10K
87081 <1% 2,183 $10K
95117 <1% 1,082 $10K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 8,239 $10K
84305 <1% 746 $10K
85730 <1% 2,847 $10K
82977 <1% 1,813 $9K
86708 <1% 1,068 $9K
93296 <1% 726 $9K
83615 <1% 3,222 $9K
97161 <1% 490 $9K
82962 <1% 5,681 $9K
84100 <1% 3,890 $9K
J0185 Injection, aprepitant, 1 mg <1% 103 $9K
86160 <1% 678 $9K
91122 <1% 113 $9K
86255 <1% 727 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,021 $9K
84165 <1% 1,209 $9K
80164 <1% 1,028 $9K
17110 <1% 167 $9K
59025 Fetal non-stress test <1% 188 $8K
86225 <1% 838 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 71 $8K
J7050 Infusion, normal saline solution, 250 cc <1% 10,855 $8K
82274 <1% 753 $8K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 417 $8K
81003 <1% 6,527 $8K
76942 <1% 103 $8K
91200 <1% 549 $8K
90472 Immunization administration, each additional vaccine (list separately) <1% 690 $8K
84480 <1% 794 $8K
96119 <1% 86 $8K
84460 <1% 2,159 $8K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 58 $8K
82533 <1% 604 $8K
99001 <1% 1,719 $8K
87205 <1% 2,438 $7K
86039 <1% 898 $7K
87102 <1% 1,259 $7K
86787 <1% 818 $7K
84156 <1% 3,030 $7K
81025 <1% 1,717 $7K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 325 $7K
84163 <1% 577 $7K
93922 <1% 198 $7K
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% 2,657 $7K
90791 Psychiatric diagnostic evaluation <1% 80 $6K
70355 <1% 395 $6K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 6,170 $6K
81401 <1% 379 $6K
84450 <1% 1,689 $6K
92579 <1% 238 $6K
82550 <1% 1,502 $6K
86800 <1% 649 $6K
72040 <1% 160 $6K
86200 <1% 629 $6K
88304 <1% 335 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 74 $6K
86431 <1% 1,409 $6K
82803 <1% 483 $6K
85018 <1% 3,144 $6K
73522 <1% 91 $6K
84550 <1% 2,181 $6K
82247 <1% 1,702 $6K
96132 <1% 105 $5K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 9,652 $5K
92557 <1% 207 $5K
72082 <1% 76 $5K
83883 <1% 837 $5K
96139 <1% 44 $5K
86696 <1% 355 $5K
77336 <1% 85 $5K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 2,515 $5K
81002 <1% 2,036 $5K
82677 <1% 266 $5K
87902 <1% 81 $5K
64405 <1% 160 $5K
82040 <1% 2,103 $5K
82248 <1% 1,448 $5K
82947 <1% 1,817 $5K
84425 <1% 320 $5K
A0434 Specialty care transport (sct) <1% 14 $5K
82310 <1% 1,505 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 96 $4K
84481 <1% 357 $4K
98940 <1% 274 $4K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 232 $4K
85046 <1% 1,864 $4K
84520 <1% 1,737 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 464 $4K
96133 <1% 37 $4K
31575 <1% 84 $4K
91010 <1% 48 $4K
72146 <1% 17 $4K
80175 <1% 590 $4K
72125 Computed tomography, cervical spine; without contrast material <1% 31 $4K
82627 <1% 202 $4K
86695 <1% 355 $4K
86359 <1% 450 $3K
87046 <1% 512 $3K
87045 <1% 500 $3K
J1756 Injection, iron sucrose, 1 mg <1% 108 $3K
77002 <1% 116 $3K
83718 <1% 589 $3K
82150 <1% 793 $3K
83010 <1% 384 $3K
86336 <1% 269 $3K
88185 <1% 29 $3K
80177 <1% 436 $3K
82785 <1% 244 $3K
85379 <1% 477 $3K
84075 <1% 978 $3K
J0475 Injection, baclofen, 10 mg <1% 16 $3K
83721 <1% 783 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,389 $3K
0071A <1% 139 $3K
96409 <1% 37 $3K
0072A <1% 135 $3K
87328 <1% 284 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 7,429 $3K
84590 <1% 321 $3K
90480 <1% 169 $3K
91038 <1% 20 $3K
84630 <1% 351 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 15 $3K
83498 <1% 121 $3K
70486 <1% 15 $3K
87040 <1% 312 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 232 $3K
87075 <1% 366 $3K
86308 <1% 590 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 3,785 $2K
96138 <1% 90 $2K
86361 <1% 329 $2K
87329 <1% 318 $2K
97535 Self-care/home management training, each 15 minutes <1% 119 $2K
85014 <1% 1,338 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 1,512 $2K
91065 <1% 58 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,433 $2K
82378 <1% 171 $2K
86769 <1% 65 $2K
76499 <1% 174 $2K
73552 <1% 46 $2K
87206 <1% 503 $2K
0124A <1% 97 $2K
93971 <1% 32 $2K
17311 <1% 23 $2K
90461 <1% 109 $2K
86665 <1% 85 $2K
80069 <1% 277 $2K
99242 <1% 42 $2K
0134A <1% 90 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,283 $2K
82131 <1% 223 $2K
96118 <1% 17 $2K
95700 <1% 13 $2K
82172 <1% 133 $2K
88312 <1% 91 $2K
81243 <1% 31 $2K
87486 <1% 70 $2K
87581 <1% 70 $2K
84132 <1% 898 $2K
87015 <1% 445 $2K
82465 <1% 668 $2K
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away <1% 169 $2K
84155 <1% 797 $2K
69210 <1% 70 $2K
91037 <1% 43 $2K
82951 <1% 160 $2K
87529 <1% 43 $2K
89051 <1% 589 $2K
84295 <1% 779 $2K
Q3014 Telehealth originating site facility fee <1% 1,078 $2K
90656 <1% 374 $2K
99495 <1% 16 $2K
97802 <1% 39 $2K
97163 <1% 28 $1K
0074A <1% 77 $1K
82435 <1% 733 $1K
D7230 <1% 25 $1K
90846 Family psychotherapy without the patient present, 50 minutes <1% 25 $1K
J1644 Injection, heparin sodium, per 1000 units <1% 1,329 $1K
82542 <1% 115 $1K
0064A <1% 52 $1K
83605 <1% 233 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 124 $1K
80197 <1% 388 $1K
95874 <1% 130 $1K
64642 <1% 12 $1K
0054A <1% 58 $1K
82390 <1% 139 $1K
96367 <1% 34 $1K
92133 <1% 74 $1K
74019 <1% 17 $1K
83630 <1% 95 $1K
90717 <1% 13 $1K
88184 <1% 34 $994.29
86664 <1% 85 $984.27
82374 <1% 499 $961.24
82657 <1% 56 $948.26
0001A <1% 31 $941.10
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 14 $929.40
J3490 Unclassified drugs <1% 2,782 $892.80
92225 <1% 123 $888.78
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 31 $888.76
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 34 $869.40
99407 <1% 55 $858.61
G0127 Trimming of dystrophic nails, any number <1% 101 $811.84
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 27 $796.82
95251 <1% 82 $794.85
0004A <1% 39 $789.42
72081 <1% 13 $780.48
80081 <1% 16 $767.30
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 42 $764.24
C1729 Catheter, drainage <1% 54 $753.85
80051 <1% 145 $753.64
86022 <1% 51 $727.94
83525 <1% 86 $713.60
51798 <1% 98 $702.21
96167 <1% 15 $688.73
88321 <1% 34 $676.44
92552 <1% 38 $634.43
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 15 $624.38
80055 <1% 54 $615.56
0052A <1% 29 $605.72
92226 <1% 129 $574.87
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 42 $566.95
82340 <1% 163 $552.44
83521 <1% 26 $552.00
84445 <1% 12 $535.77
0154A <1% 26 $532.61
82140 <1% 65 $519.14
77063 Screening digital breast tomosynthesis, bilateral <1% 191 $518.76
86364 <1% 12 $515.08
92551 <1% 79 $512.97
87338 <1% 57 $505.86
87449 <1% 64 $502.30
82952 <1% 160 $501.35
87324 <1% 61 $492.35
62370 <1% 18 $486.03
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 171 $468.95
84478 <1% 113 $464.53
84436 <1% 150 $464.52
73590 <1% 15 $441.19
92202 <1% 122 $414.29
82103 <1% 44 $409.45
83020 <1% 40 $407.66
J7060 5% dextrose/water (500 ml = 1 unit) <1% 731 $405.85
99442 <1% 68 $400.68
92526 <1% 12 $400.46
D7140 Extraction, erupted tooth or exposed root <1% 12 $393.75
96156 <1% 32 $391.57
95886 <1% 19 $388.37
94664 <1% 40 $373.31
86341 <1% 12 $366.80
84134 <1% 54 $361.68
96127 <1% 136 $346.27
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,130 $342.95
88313 <1% 46 $323.98
81479 Unlisted molecular pathology procedure <1% 12 $321.94
82525 <1% 28 $286.98
99443 <1% 28 $256.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 189 $251.72
0111A <1% 13 $248.46
99188 <1% 33 $230.12
85240 <1% 14 $218.05
99173 <1% 79 $207.62
0081A <1% 13 $197.38
83789 <1% 14 $196.69
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 63 $187.06
94760 <1% 76 $184.39
G0008 Administration of influenza virus vaccine <1% 602 $182.95
S0077 Injection, clindamycin phosphate, 300 mg <1% 38 $180.34
J0780 Injection, prochlorperazine, up to 10 mg <1% 69 $164.65
J1030 Injection, methylprednisolone acetate, 40 mg <1% 73 $164.44
88173 <1% 14 $163.97
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 112 $146.31
G0444 Annual depression screening, 5 to 15 minutes <1% 13 $132.80
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 145 $119.19
84446 <1% 13 $118.85
85049 <1% 53 $103.13
90653 <1% 47 $81.65
J1650 Injection, enoxaparin sodium, 10 mg <1% 56 $78.02
J8540 Dexamethasone, oral, 0.25 mg <1% 73 $74.50
97012 <1% 16 $68.89
J3475 Injection, magnesium sulfate, per 500 mg <1% 31 $66.68
84300 <1% 18 $59.40
99201 <1% 27 $44.06
82945 <1% 19 $44.00
84157 <1% 19 $40.56
J2270 Injection, morphine sulfate, up to 10 mg <1% 55 $35.97
C9257 Injection, bevacizumab, 0.25 mg <1% 32 $31.14
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 42 $28.92
99411 <1% 17 $25.15
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 20 $22.35
J2060 Injection, lorazepam, 2 mg <1% 75 $21.38
81000 <1% 12 $14.94
J2004 Injection, lidocaine hcl with epinephrine, 1 mg <1% 17 $9.10
C1758 Catheter, ureteral <1% 16 $6.16
91307 <1% 393 $1.72
91305 <1% 175 $0.92
91312 <1% 97 $0.65
91313 <1% 90 $0.59
91300 <1% 126 $0.55
91308 <1% 69 $0.35
91306 <1% 51 $0.25
91311 <1% 28 $0.18
91315 <1% 26 $0.17
90694 0% 12 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 46 $0.00
96040 0% 117 $0.00
90698 0% 55 $0.00
90697 0% 12 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 289 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 965 $0.00
90670 0% 69 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 18 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 295 $0.00
90662 0% 43 $0.00
80364 0% 24 $0.00
90633 0% 27 $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 officialJANTZEN, DANIEL (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under JANTZEN, DANIEL

Full network →
ProviderLocationPaid
Dartmouth-Hitchcock ClinicLebanon, NH$31.39M
Dartmouth-Hitchcock ClinicKeene, NH$606K
Dartmouth-Hitchcock ClinicLebanon, NH$93K

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