Clinic
Gifford Health Care, INC
Gifford Health Care, INC was paid $111K by Medicaid between Jan 2018 and Mar 2019, across 2 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoGIFFORD HEALTH CARE, INC
WHITE RIVER JUNCTION, VT 05001
WHITE RIVER JUNCTION, VT 05001
33aNPI1073943999assigned 11/13/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$111K
24GClaims1,490
24DCodes billed2
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Vermont
Rank by total paid#27 of 33
Median peer was paid$1.23M
This provider vs. median0.1×
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 | 1,167 | $88K | |
| 2019 | 323 | $22K |
Box 24 · Service lines
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 | 100% | 722 | 564 | $111K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 768 | 603 | $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)
Parent organizationGIFFORD HEALTH CARE, INC
| 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 Health Care, INC | Randolph, VT | $258K |
| Gifford Medical Center INC. | Randolph, VT | $218K |
| 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.