Physician
Southwestern Vermont Medical Center INC.
Southwestern Vermont Medical Center INC. was paid $2.86M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoSOUTHWESTERN VERMONT MEDICAL CENTER INC.
BENNINGTON, VT 05201
BENNINGTON, VT 05201
33aNPI1184994162assigned 01/06/2012
33bProvider typeAllergy & Immunology Physician
28Total paid$2.86M
24GClaims169,722
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 25,872 | $593K | |
| 2019 | 26,682 | $524K | |
| 2020 | 20,771 | $275K | |
| 2021 | 18,852 | $288K | |
| 2022 | 21,226 | $395K | |
| 2023 | 23,285 | $448K | |
| 2024incomplete | 33,034 | $338K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 49,751 | 46,239 | $994K |
| 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 | 34% | 37,132 | 34,240 | $963K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 3,280 | 3,177 | $248K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 4,753 | 4,633 | $109K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 16,048 | 15,566 | $94K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 2,018 | 1,848 | $89K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 6,474 | 6,216 | $64K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 1,582 | 1,448 | $52K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 2,836 | 2,637 | $39K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.4% | 1,811 | 1,702 | $39K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 1,072 | 1,033 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 2,763 | 2,721 | $36K |
63 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 264 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,035 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 947 | $10K |
| 94010 | <1% | 1,256 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,390 | $5K |
| 17000 | <1% | 334 | $5K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 570 | $5K |
| 93000 | <1% | 924 | $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% | 119 | $4K |
| 90474 | <1% | 363 | $3K | |
| 81025 | <1% | 833 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,032 | $3K |
| 99406 | <1% | 565 | $3K | |
| 90686 | <1% | 5,468 | $3K | |
| 17110 | <1% | 91 | $2K | |
| 90480 | <1% | 51 | $2K | |
| 95886 | <1% | 69 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 54 | $999.59 |
| 99205 | Prolong outpt/office vis | <1% | 16 | $944.18 |
| 81000 | <1% | 495 | $801.94 | |
| 96127 | <1% | 761 | $728.73 | |
| 95251 | <1% | 105 | $672.20 | |
| 94060 | <1% | 99 | $645.95 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 145 | $620.44 |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 52 | $546.49 |
| 52000 | <1% | 14 | $538.68 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 258 | $507.32 |
| 80305 | <1% | 131 | $443.08 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 118 | $418.65 |
| 87807 | <1% | 29 | $156.55 | |
| 94729 | <1% | 52 | $110.62 | |
| 51798 | <1% | 36 | $109.66 | |
| 85018 | <1% | 136 | $98.06 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 27 | $96.12 |
| 94726 | <1% | 31 | $90.70 | |
| 99173 | <1% | 253 | $70.04 | |
| 93018 | <1% | 12 | $47.84 | |
| 96160 | <1% | 51 | $32.52 | |
| 51741 | <1% | 12 | $25.60 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 48 | $18.04 |
| 81002 | <1% | 14 | $13.80 | |
| 90661 | <1% | 337 | $0.01 | |
| 3078F | 0% | 7,013 | $0.00 | |
| 90671 | 0% | 97 | $0.00 | |
| 90685 | 0% | 220 | $0.00 | |
| 90670 | 0% | 998 | $0.00 | |
| 90633 | 0% | 172 | $0.00 | |
| 90648 | 0% | 746 | $0.00 | |
| 3077F | 0% | 56 | $0.00 | |
| 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) | 0% | 15 | $0.00 |
| 90734 | 0% | 12 | $0.00 | |
| 3074F | 0% | 8,044 | $0.00 | |
| 90677 | 0% | 211 | $0.00 | |
| 3079F | 0% | 653 | $0.00 | |
| 90723 | 0% | 234 | $0.00 | |
| 90680 | 0% | 374 | $0.00 | |
| 90697 | 0% | 280 | $0.00 | |
| 90651 | 0% | 151 | $0.00 | |
| 3075F | 0% | 115 | $0.00 | |
| 36416 | 0% | 72 | $0.00 | |
| 90619 | 0% | 14 | $0.00 | |
| 3080F | 0% | 103 | $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 officialDEE, THOMAS (CEO)
Parent organizationSOUTHWESTERN VERMONT MEDICAL CENTER INC.
| Provider | Location | Paid |
|---|---|---|
| Southwestern Vermont Medical Center INC. | Bennington, VT | $5.13M |
| Southwestern Vermont Medical Center, INC | Bennington, VT | $664K |
| Southwestern Vermont Medical Center, INC | Bennington, VT | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.