Medicaid Provider Spending

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

DARTMOUTH-HITCHCOCK CLINIC

NPI: 1174176861 · KEENE, NH 03431 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 07/22/2019

$606K
Total Medicaid Paid
8,067
Total Claims
4,825
Beneficiaries
10
Codes Billed
2020-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJANTZEN, DANIEL (CFO)
NPI Enumeration Date07/22/2019

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 LEBANON NH $93K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 758 $55K
2021 2,324 $157K
2022 2,070 $161K
2023 1,803 $128K
2024 1,112 $106K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,246 1,807 $219K
H0001 Alcohol and/or drug assessment 1,552 1,311 $216K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,068 681 $113K
T1012 Alcohol and/or substance abuse services, skills development 533 357 $29K
H0005 Alcohol and/or drug services; group counseling by a clinician 823 209 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 129 60 $3K
80305 247 156 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 184 88 $2K
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) 209 100 $863.69
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 76 56 $666.81