Hospital
Northeastern Vermont Regional Hospital, INC
Northeastern Vermont Regional Hospital, INC was paid $73K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99285, emergency room visit (most serious) — 48% of everything it billed.
33Billing provider infoNORTHEASTERN VERMONT REGIONAL HOSPITAL, INC
ST JOHNSBURY, VT 05819
ST JOHNSBURY, VT 05819
33aNPI1275576704assigned 06/13/2006
33bProvider typeCritical Access Hospital
28Total paid$73K
24GClaims3,421
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Critical Access Hospital providers in Vermont
Rank by total paid#3 of 11
Median peer was paid$40K
This provider vs. median1.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HERSEY, ROBERT controls 13+ related entities in our dataset. Read more
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 | 801 | $31K | |
| 2019 | 1,279 | $21K | |
| 2020 | 195 | $7K | |
| 2021 | 179 | $1K | |
| 2022 | 454 | $6K | |
| 2023 | 255 | $4K | |
| 2024incomplete | 258 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 48% | 342 | 158 | $35K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 27% | 267 | 165 | $20K |
| 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 | 12% | 600 | 278 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 610 | 226 | $5K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.6% | 83 | 53 | $3K |
| 80053 | Comprehensive metabolic panel | 1.8% | 350 | 232 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | 12 | $532.86 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 497 | 335 | $220.10 |
| 11721 | <1% | 82 | 40 | $165.34 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 449 | 272 | $9.27 |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 0% | 12 | 12 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 44 | 25 | $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 officialHERSEY, ROBERT (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.