Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Porter Hospital, INC

Porter Hospital, INC was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoPORTER HOSPITAL, INC
MIDDLEBURY, VT 05753
33aNPI1134457013assigned 12/03/2009
33bProvider typeCardiovascular Disease Physician
28Total paid$1.30M
24GClaims98,153
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Vermont

Rank by total paid#1 of 6
Median peer was paid$966.01
This provider vs. median1,346×

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$20K$40K2018201920202021202220232024
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
201812,595$342K
201910,805$216K
20208,019$94K
202111,358$185K
202215,693$178K
202318,627$168K
2024incomplete21,056$118K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 43% 23,665 20,682 $554K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 25,123 23,207 $343K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.1% 1,702 1,454 $118K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.7% 2,480 2,359 $48K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.2% 2,580 2,381 $42K
90472 Immunization administration, each additional vaccine (list separately) 2.9% 3,390 3,142 $38K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.9% 9,662 9,054 $37K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1.1% 903 680 $14K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 1,200 1,141 $12K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 556 523 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,237 1,163 $11K
90480 <1% 251 222 $8K
75 more codes
90837 Psychotherapy session, about an hour <1% 496 $6K
D0145 Oral evaluation for a patient under three years of age <1% 158 $5K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 182 $5K
0071A <1% 110 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 397 $4K
0072A <1% 103 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 594 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,467 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 154 $3K
99310 Prolong nursin fac eval 15m <1% 105 $3K
92567 <1% 900 $2K
77067 Screening mammography, bilateral, including computer-aided detection <1% 385 $2K
99232 Hospital visit by a doctor, follow-up day <1% 152 $2K
99308 Subsequent nursing facility care, per day, straightforward <1% 132 $2K
90686 <1% 4,607 $2K
77063 Screening digital breast tomosynthesis, bilateral <1% 385 $1K
90834 Psychotherapy session, about 45 minutes <1% 85 $1K
92557 <1% 193 $1K
71046 Radiologic examination, chest; 2 views <1% 534 $923.26
0124A <1% 25 $880.00
99285 Emergency room visit (most serious) <1% 16 $846.48
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 33 $614.52
99215 Doctor's office visit, returning patient (complex) <1% 31 $601.37
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 25 $559.44
99223 Prolong inpt eval add15 m <1% 17 $544.75
95117 <1% 648 $503.53
0154A <1% 12 $480.00
99442 <1% 39 $456.88
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 209 $310.71
99204 Doctor's office visit, new patient (more involved) <1% 28 $307.34
92551 <1% 323 $287.75
90473 <1% 28 $280.79
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 24 $268.51
92579 <1% 26 $264.74
20610 <1% 16 $241.70
96127 <1% 622 $230.16
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 77 $229.12
90460 Immunization administration through 18 years of age via any route, first or only component <1% 28 $208.68
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 28 $187.03
92587 <1% 33 $161.54
73630 <1% 51 $135.90
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 58 $122.77
99188 <1% 26 $121.85
90688 <1% 15 $103.80
36415 Collection of venous blood by venipuncture <1% 148 $91.02
92555 <1% 38 $85.49
92588 <1% 18 $83.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 19 $82.90
99173 <1% 267 $66.32
93000 <1% 19 $63.46
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) <1% 1,251 $57.44
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 14 $38.13
96161 <1% 12 $28.08
81025 <1% 13 $25.32
92550 <1% 21 $18.29
90670 <1% 314 $0.01
90685 <1% 122 $0.01
3078F 0% 2,732 $0.00
90648 0% 255 $0.00
91300 0% 13 $0.00
90671 0% 85 $0.00
90633 0% 37 $0.00
91308 0% 168 $0.00
91312 0% 27 $0.00
92504 0% 16 $0.00
3074F 0% 3,850 $0.00
91307 0% 262 $0.00
90723 0% 105 $0.00
36416 0% 99 $0.00
90656 0% 492 $0.00
3079F 0% 337 $0.00
90677 0% 43 $0.00
91315 0% 12 $0.00
90697 0% 25 $0.00
3075F 0% 13 $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 officialBETRAND, JENNIFER (CFO)
Parent organizationPORTER HOSPITAL INC