Medicaid Provider Spending

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

NPI: 1124681846 · LEBANON, NH 03766 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 04/18/2019

$93K
Total Medicaid Paid
1,168
Total Claims
879
Beneficiaries
1
Codes Billed
2021-11
First Month
2024-03
Last Month

Provider Details

Authorized OfficialJANTZEN, DANIEL (CFO)
NPI Enumeration Date04/18/2019

Related Entities

Other providers sharing the same authorized official: JANTZEN, DANIEL

ProviderCityStateTotal Paid
MARY HITCHCOCK MEMORIAL HOSPITAL LEBANON NH $32.31M
DARTMOUTH-HITCHCOCK CLINIC LEBANON NH $31.39M
DARTMOUTH-HITCHCOCK CLINIC KEENE NH $606K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 136 $4K
2023 860 $60K
2024 172 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,168 879 $93K