DARTMOUTH-HITCHCOCK CLINIC
NPI: 1174176861
· KEENE, NH 03431
· 261QR0405X
$606K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
758 |
$55K |
| 2021 |
2,324 |
$157K |
| 2022 |
2,070 |
$161K |
| 2023 |
1,803 |
$128K |
| 2024 |
1,112 |
$106K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,246 |
1,807 |
$219K |
| H0001 |
Alcohol and/or drug assess |
1,552 |
1,311 |
$216K |
| H0004 |
Alcohol and/or drug services |
1,068 |
681 |
$113K |
| T1012 |
Alcohol/substance abuse skil |
533 |
357 |
$29K |
| H0005 |
Alcohol and/or drug services |
823 |
209 |
$20K |
| 99213 |
|
129 |
60 |
$3K |
| 80305 |
|
247 |
156 |
$2K |
| 99211 |
|
184 |
88 |
$2K |
| G2211 |
Complex e/m visit add on |
209 |
100 |
$863.69 |
| 96372 |
|
76 |
56 |
$666.81 |