Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Oak Bluffs › NPI 1134206386
Hospital

Martha's Vineyard Hospital, INC.

Martha's Vineyard Hospital, INC. was paid $50.35M by Medicaid between Jan 2018 and Dec 2024, across 304 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 33% of everything it billed.

33Billing provider infoMARTHA'S VINEYARD HOSPITAL, INC.
OAK BLUFFS, MA 02557
33aNPI1134206386assigned 11/01/2006
33bProvider typeCritical Access Hospital
28Total paid$50.35M
24GClaims548,261
24DCodes billed304
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in Massachusetts

Rank by total paid#1 of 5
Median peer was paid$7.11M
This provider vs. median7.1×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
201866,102$6.55M
201975,028$8.07M
202068,198$6.76M
2021110,933$8.34M
2022102,577$12.17M
202377,776$5.43M
2024incomplete47,647$3.04M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 33% 51,754 41,436 $16.61M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 20,747 18,463 $5.86M
96361 Intravenous infusion, hydration; each additional hour 8.2% 4,460 3,887 $4.13M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.3% 14,899 13,311 $3.70M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.1% 15,317 4,522 $2.08M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.7% 7,071 5,580 $1.36M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.0% 4,751 4,092 $1.02M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.7% 4,137 4,126 $833K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.5% 2,498 1,897 $764K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.5% 1,903 1,803 $749K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.5% 3,251 3,223 $747K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.5% 2,692 2,454 $731K
292 more codes
99213 Doctor's office visit, returning patient (routine) 1.4% 13,117 $705K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.2% 8,128 $607K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.2% 3,225 $591K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.1% 1,623 $546K
92552 <1% 1,703 $436K
70450 Computed tomography, head or brain; without contrast material <1% 1,401 $432K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,163 $411K
99214 Doctor's office visit, returning patient (more involved) <1% 8,414 $409K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 3,125 $386K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 5,525 $358K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,751 $304K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,330 $243K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 763 $218K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 754 $210K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 582 $201K
90651 <1% 639 $197K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,221 $190K
97161 <1% 1,400 $181K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 4,637 $180K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 5,202 $172K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 967 $170K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 7,955 $166K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,535 $162K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,385 $156K
76830 Ultrasound, transvaginal <1% 681 $153K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 7,791 $151K
59025 Fetal non-stress test <1% 197 $123K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,641 $112K
90715 <1% 1,779 $96K
90686 <1% 4,640 $95K
99215 Doctor's office visit, returning patient (complex) <1% 1,012 $94K
86618 <1% 4,602 $91K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 19,266 $89K
0002A <1% 2,622 $87K
0001A <1% 2,708 $84K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,533 $83K
99201 <1% 231 $83K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 45 $82K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,301 $82K
71046 Radiologic examination, chest; 2 views <1% 4,282 $80K
J3490 Unclassified drugs <1% 2,375 $76K
96127 <1% 1,390 $70K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 2,487 $68K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 3,658 $66K
84443 Thyroid stimulating hormone (TSH) <1% 7,471 $65K
99203 Doctor's office visit, new patient (routine) <1% 841 $64K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 370 $64K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 206 $60K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,533 $59K
87631 <1% 573 $58K
96375 Therapeutic injection; each additional sequential IV push <1% 3,666 $58K
99204 Doctor's office visit, new patient (more involved) <1% 572 $57K
G0378 Hospital observation service, per hour <1% 476 $57K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,225 $54K
ATP15 <1% 7,488 $51K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,083 $51K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 87 $49K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,752 $44K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,171 $44K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 17 $43K
D1110 Prophylaxis - adult <1% 1,623 $41K
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% 1,697 $36K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,429 $34K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 6,414 $31K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,197 $31K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,608 $29K
ATP14 <1% 4,888 $28K
ATP08 <1% 5,590 $27K
0011A <1% 967 $25K
0012A <1% 899 $24K
84702 <1% 2,059 $23K
J7050 Infusion, normal saline solution, 250 cc <1% 3,863 $23K
84484 <1% 2,827 $23K
97535 Self-care/home management training, each 15 minutes <1% 154 $22K
90750 <1% 83 $21K
73630 <1% 810 $20K
85027 <1% 5,852 $19K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 84 $19K
90461 <1% 2,726 $19K
90620 <1% 89 $18K
20610 <1% 51 $18K
87800 <1% 602 $18K
83036 Hemoglobin; glycosylated (A1C) <1% 4,358 $18K
0004A <1% 452 $17K
ATP17 <1% 2,483 $17K
80050 General health panel <1% 1,454 $17K
83690 <1% 3,742 $17K
80048 Basic metabolic panel (calcium, ionized) <1% 15,957 $17K
73564 <1% 646 $16K
86803 <1% 2,048 $16K
83735 <1% 5,139 $16K
86141 <1% 2,092 $16K
76801 <1% 33 $15K
D9110 <1% 798 $15K
81025 <1% 2,848 $15K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 47 $14K
0124A <1% 357 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 677 $14K
88271 <1% 760 $14K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 99 $14K
83605 <1% 2,348 $13K
73030 <1% 499 $13K
87400 <1% 1,290 $13K
81001 <1% 6,319 $12K
82728 <1% 1,818 $12K
D0120 Dental checkup, returning patient <1% 974 $12K
76642 <1% 81 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 281 $12K
87490 <1% 780 $12K
90472 Immunization administration, each additional vaccine (list separately) <1% 850 $12K
83655 <1% 1,064 $12K
82607 <1% 1,727 $11K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 407 $11K
71275 Computed tomographic angiography, chest, with contrast material <1% 40 $11K
87077 <1% 2,363 $11K
86617 <1% 1,077 $11K
0064A <1% 257 $11K
71045 Radiologic examination, chest; single view <1% 1,698 $11K
84439 <1% 2,147 $11K
D0140 Limited oral evaluation - problem focused <1% 555 $10K
84153 <1% 1,179 $10K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,223 $10K
87186 <1% 1,871 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 18 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 13 $9K
81003 <1% 5,986 $9K
ATP03 <1% 1,653 $9K
80053 Comprehensive metabolic panel <1% 10,360 $8K
97116 <1% 112 $8K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 124 $8K
80076 <1% 9,024 $7K
85610 <1% 4,209 $7K
D0220 Intraoral - periapical first radiographic image <1% 850 $7K
J1170 Injection, hydromorphone, up to 4 mg <1% 415 $7K
73610 <1% 407 $7K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 115 $7K
97162 <1% 52 $6K
87040 <1% 709 $6K
D0274 Bitewings - four radiographic images <1% 283 $6K
90670 <1% 1,846 $6K
72100 <1% 145 $6K
80061 Lipid panel <1% 8,066 $5K
0054A <1% 206 $5K
97165 <1% 25 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,628 $5K
71250 <1% 50 $5K
0071A <1% 150 $5K
83550 <1% 1,360 $5K
90677 <1% 40 $5K
86757 <1% 340 $4K
83880 <1% 371 $4K
73130 <1% 210 $4K
90696 <1% 60 $4K
85652 <1% 2,469 $4K
83540 <1% 1,446 $4K
93017 <1% 26 $4K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 95 $4K
0072A <1% 77 $4K
87506 <1% 29 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 425 $3K
D0210 Intraoral - complete series of radiographic images <1% 95 $3K
J2704 Injection, propofol, 10 mg <1% 1,829 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,012 $3K
99443 <1% 483 $3K
86668 <1% 307 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,100 $3K
85379 <1% 387 $3K
76536 <1% 12 $3K
86000 <1% 491 $2K
86850 <1% 414 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 686 $2K
87420 <1% 213 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 496 $2K
D2330 <1% 63 $2K
72125 Computed tomography, cervical spine; without contrast material <1% 55 $2K
87207 <1% 464 $2K
0134A <1% 45 $2K
87481 <1% 95 $2K
82043 <1% 823 $2K
86592 <1% 590 $2K
87070 <1% 283 $2K
90732 <1% 42 $2K
90662 <1% 148 $1K
73502 <1% 13 $1K
73110 <1% 99 $1K
36415 Collection of venous blood by venipuncture <1% 588 $1K
87184 <1% 262 $1K
ATP16 <1% 189 $1K
D1206 Topical application of fluoride varnish <1% 40 $1K
82746 <1% 173 $1K
84403 <1% 86 $1K
90656 <1% 46 $1K
90734 <1% 475 $894.38
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 276 $874.57
86787 <1% 75 $829.57
90633 <1% 1,325 $823.86
87469 <1% 537 $772.44
80305 <1% 90 $749.28
86900 <1% 424 $726.78
87484 <1% 568 $725.35
73140 <1% 26 $713.14
86901 <1% 420 $710.40
90480 <1% 99 $704.57
ATP11 <1% 109 $688.06
D0230 Intraoral - periapical each additional radiographic image <1% 93 $682.00
99238 Hospital discharge day management, 30 minutes or less <1% 12 $673.92
77066 Tomosynthesis, mammo <1% 12 $665.80
91320 <1% 13 $655.50
0052A <1% 14 $642.18
82947 <1% 234 $607.51
84480 <1% 59 $561.31
0111A <1% 12 $550.44
82105 <1% 39 $529.89
0074A <1% 12 $513.53
87081 <1% 105 $501.72
99442 <1% 207 $496.14
80055 <1% 12 $479.71
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 477 $459.62
0051A <1% 18 $458.70
82670 <1% 26 $449.40
90716 <1% 223 $420.41
73562 <1% 32 $364.70
82805 <1% 15 $349.20
99188 <1% 24 $336.00
85018 <1% 169 $335.85
83001 <1% 38 $335.08
ATP18 <1% 63 $329.10
85007 <1% 178 $314.01
83525 <1% 44 $312.90
86038 <1% 42 $286.52
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,567 $271.86
84481 <1% 26 $262.82
86780 <1% 33 $245.28
90707 <1% 225 $234.18
87340 <1% 36 $207.24
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 190 $205.31
86376 <1% 24 $199.05
80299 <1% 14 $192.78
87449 <1% 28 $185.98
Q3014 Telehealth originating site facility fee <1% 57 $151.50
0154A <1% 15 $137.61
90474 <1% 12 $125.86
93242 <1% 14 $117.70
96376 <1% 496 $114.92
82784 <1% 15 $110.24
80178 <1% 27 $102.51
ATP07 <1% 16 $101.16
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 1,000 $88.02
J2270 Injection, morphine sulfate, up to 10 mg <1% 237 $87.58
87045 <1% 14 $60.34
J2060 Injection, lorazepam, 2 mg <1% 363 $57.68
87177 <1% 12 $56.84
84550 <1% 87 $50.50
84100 <1% 1,004 $40.70
85730 <1% 13 $37.10
91300 <1% 5,155 $35.94
G0008 Administration of influenza virus vaccine <1% 268 $31.25
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 95 $30.94
86003 <1% 12 $23.00
84460 <1% 28 $4.83
82962 <1% 451 $2.89
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 550 $0.32
90680 0% 1,202 $0.00
90744 0% 350 $0.00
90698 0% 870 $0.00
80320 0% 92 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 683 $0.00
91301 0% 1,706 $0.00
90697 0% 117 $0.00
90647 0% 12 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 38 $0.00
83615 0% 12 $0.00
80069 0% 33 $0.00
90723 0% 30 $0.00
87468 0% 56 $0.00
80329 0% 14 $0.00
82550 0% 14 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 15 $0.00
90672 0% 106 $0.00
80143 0% 87 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 317 $0.00
90648 0% 149 $0.00
84145 0% 15 $0.00
80179 0% 29 $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% 14 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 20 $0.00
90685 0% 209 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 0% 154 $0.00
90700 0% 26 $0.00
84450 0% 13 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 13 $0.00
90710 0% 14 $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 officialMCDERMOTT, VINCENT (SVP, CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under MCDERMOTT, VINCENT

Full network →
ProviderLocationPaid
Newton-Wellesley HospitalNewton, MA$36.31M
Mass General Brigham Medical Group, INC.Salem, NH$758K
Martha's Vineyard Hospital, INC.Oak Bluffs, MA$94K

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