Medicaid Provider Spending

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

NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC

NPI: 1275576704 · ST JOHNSBURY, VT 05819 · Critical Access Hospital · NPI assigned 06/13/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HERSEY, ROBERT controls 13+ related entities in our dataset. Read more

$73K
Total Medicaid Paid
3,421
Total Claims
1,845
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHERSEY, ROBERT (CFO)
NPI Enumeration Date06/13/2006

Related Entities

Other providers sharing the same authorized official: HERSEY, ROBERT

ProviderCityStateTotal Paid
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $2.72M
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $1.32M
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC. LYNDONVILLE VT $831K
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT $701K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC. ST JOHNSBURY VT $448K
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT $122K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $40K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $40K
NORTHEASTERN VERMONT REGIONAL HOSPITAL ST JOHNSBURY VT $19K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST. JOHNSBURY VT $9K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $7K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $3K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $745.16

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 801 $31K
2019 1,279 $21K
2020 195 $7K
2021 179 $1K
2022 454 $6K
2023 255 $4K
2024 258 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 342 158 $35K
99284 Emergency department visit for the evaluation and management, high severity 267 165 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 600 278 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 610 226 $5K
99283 Emergency department visit for the evaluation and management, moderate severity 83 53 $3K
80053 Comprehensive metabolic panel 350 232 $1K
71046 Radiologic examination, chest; 2 views 14 12 $532.86
85025 Blood count; complete (CBC), automated, and automated differential WBC count 497 335 $220.10
11721 82 40 $165.34
36415 Collection of venous blood by venipuncture 449 272 $9.27
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 12 12 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 44 25 $0.00
83735 45 25 $0.00
84484 26 12 $0.00