Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH COUNTRY MEDICAL AND WELLNESS, LLC

NPI: 1083133870 · COLEBROOK, NH 03576 · Primary Care Clinic/Center · NPI assigned 09/13/2017

$485K
Total Medicaid Paid
15,368
Total Claims
10,568
Beneficiaries
11
Codes Billed
2018-08
First Month
2024-05
Last Month

Provider Details

Authorized OfficialVAILAS, NICHOLAS (CEO)
NPI Enumeration Date09/13/2017

Related Entities

Other providers sharing the same authorized official: VAILAS, NICHOLAS

ProviderCityStateTotal Paid
GREATER HAMPSTEAD FAMILY MEDICINE, INC. HAMPSTEAD NH $1K
NORTHEAST GASTROENTEROLOGY ASSOCIATES, LLC SALEM NH $229.60

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,390 $30K
2019 4,099 $122K
2020 3,303 $102K
2021 3,002 $96K
2022 2,051 $73K
2023 1,278 $50K
2024 245 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,429 5,339 $388K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,351 985 $46K
99308 Subsequent nursing facility care, per day, straightforward 2,770 1,683 $28K
80305 2,840 1,960 $13K
99309 Subsequent nursing facility care, per day, low to moderate complexity 748 451 $8K
99307 80 44 $588.55
90682 36 25 $358.48
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 61 44 $292.80
90686 20 12 $131.17
99422 18 12 $5.95
36415 Collection of venous blood by venipuncture 15 13 $3.00