Clinic
Northern Counties Health Care, INC.
Northern Counties Health Care, INC. was paid $4.43M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoNORTHERN COUNTIES HEALTH CARE, INC.
HARDWICK, VT 05843
HARDWICK, VT 05843
33aNPI1194842450assigned 03/23/2007
33bProvider typeHealth Service Clinic/Center
28Total paid$4.43M
24GClaims60,059
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Vermont
Rank by total paid#1 of 6
Median peer was paid$2.07M
This provider vs. median2.1×
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
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 | 10,006 | $654K | |
| 2019 | 7,699 | $549K | |
| 2020 | 7,696 | $589K | |
| 2021 | 12,314 | $663K | |
| 2022 | 7,725 | $636K | |
| 2023 | 8,175 | $700K | |
| 2024incomplete | 6,444 | $633K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 28,236 | 22,481 | $4.31M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.3% | 3,825 | 3,162 | $101K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,345 | 2,207 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,084 | 857 | $2K |
| 87428 | <1% | 60 | 45 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 834 | 530 | $1K |
| 90688 | <1% | 70 | 70 | $1K | |
| 91320 | <1% | 12 | 12 | $524.40 | |
| 80305 | <1% | 49 | 49 | $505.64 | |
| 90480 | <1% | 77 | 73 | $320.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | 13 | $229.04 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 27 | 15 | $202.51 |
12 more codes
| 0124A | <1% | 15 | $200.00 | |
| 90656 | <1% | 25 | $176.08 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 24 | $115.32 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 33 | $25.22 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 9,555 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 11,294 | $0.00 |
| 90686 | 0% | 1,055 | $0.00 | |
| 99000 | 0% | 1,023 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 81 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 155 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 24 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 141 | $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 officialFLOOD, PATRICK (EXECUTIVE DIRECTOR/CEO)
| Provider | Location | Paid |
|---|---|---|
| Northern Counties Health Care, INC. | Hardwick, VT | $4.54M |
| Northern Counties Health Care, INC. | St Johnsbury, VT | $3.42M |
| Northern Counties Health Care, INC. | Danville, VT | $2.53M |
| Northern Counties Health Care, INC. | Island Pond, VT | $2.07M |
| Northern Counties Health Care INC | St Johnsbury, VT | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.