Medicaid Provider Spending

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

FAIRVIEW HOSPITAL

NPI: 1124686530 · WILLIAMSTOWN, MA 01267 · Rural Health Clinic/Center · NPI assigned 05/31/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RODOWICZ, DARLENE controls 11+ related entities in our dataset. Read more

$2.82M
Total Medicaid Paid
17,464
Total Claims
15,662
Beneficiaries
19
Codes Billed
2019-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRODOWICZ, DARLENE (CHIEF FINANCIAL OFFICER)
Parent OrganizationFAIRVIEW HOSPITAL
NPI Enumeration Date05/31/2019

Related Entities

Other providers sharing the same authorized official: RODOWICZ, DARLENE

ProviderCityStateTotal Paid
BERKSHIRE MEDICAL CENTER, INC PITTSFIELD MA $150.13M
FAIRVIEW HOSPITAL GREAT BARRINGTON MA $17.67M
BERKSHIRE MEDICAL CENTER, INC PITTSFIELD MA $15.35M
BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA $13.13M
FAIRVIEW HOSPITAL NORTH ADAMS MA $3.50M
BERKSHIRE MEDICAL CENTER, INC. PITTSFIELD MA $3.10M
FAIRVIEW HOSPITAL GREAT BARRINGTON MA $1.95M
BERKSHIRE MEDICAL CENTER, INC NORTH ADAMS MA $639K
NORTH ADAMS REGIONAL HOSPITAL CORPORATION NORTH ADAMS MA $306K
BHS URGENT CARE CENTER PITTSFIELD MA $126K
BERKSHIRE MEDICAL CENTER, INC. PITTSFIELD MA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 63 $620.87
2020 3,536 $435K
2021 3,561 $701K
2022 4,632 $1.11M
2023 4,628 $525K
2024 1,044 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,839 4,930 $1.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,256 4,688 $990K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 711 603 $197K
99215 Prolong outpt/office vis 582 570 $151K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 485 484 $130K
96127 793 783 $96K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 218 217 $68K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,263 1,124 $27K
90686 373 371 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 480 474 $9K
11721 549 524 $6K
11720 379 363 $3K
99443 27 27 $3K
99442 78 77 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 181 181 $157.16
G0444 Annual depression screening, 5 to 15 minutes 152 152 $44.46
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) 12 12 $0.00
11719 45 42 $0.00
G0127 Trimming of dystrophic nails, any number 41 40 $0.00