Clinic
Northern Counties Health Care, INC.
Northern Counties Health Care, INC. was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 14 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.
ST JOHNSBURY, VT 05819
ST JOHNSBURY, VT 05819
33aNPI1295852549assigned 03/23/2007
33bProvider typeHealth Service Clinic/Center
28Total paid$1.85M
24GClaims27,287
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Vermont
Rank by total paid#5 of 6
Median peer was paid$2.07M
This provider vs. median0.9×
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 | 4,392 | $311K | |
| 2019 | 3,898 | $259K | |
| 2020 | 3,937 | $274K | |
| 2021 | 5,855 | $275K | |
| 2022 | 3,631 | $262K | |
| 2023 | 3,118 | $254K | |
| 2024incomplete | 2,456 | $210K |
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% | 11,879 | 9,399 | $1.79M |
| 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 | 2.8% | 1,879 | 1,554 | $51K |
| 36415 | Collection of venous blood by venipuncture | <1% | 875 | 795 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 452 | 427 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 75 | 32 | $570.71 |
| 90480 | <1% | 22 | 21 | $280.00 | |
| 90688 | <1% | 16 | 16 | $249.12 | |
| 90656 | <1% | 15 | 14 | $154.07 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 5,234 | 4,341 | $0.00 |
| 99000 | 0% | 481 | 449 | $0.00 | |
| 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 | 0% | 6,096 | 5,058 | $0.00 |
| 90686 | 0% | 197 | 190 | $0.00 |
2 more codes
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 officialCOSTA, MICHAEL (EXECUTIVE DIRECTOR/CEO)
| Provider | Location | Paid |
|---|---|---|
| Gifford Health Care, INC | Randolph, VT | $8.43M |
| Gifford Health Care, INC | Barre, VT | $2.05M |
| Gifford Health Care, INC | Bethel, VT | $1.83M |
| Gifford Health Care, INC. | Randolph, VT | $934K |
| Gifford Health Care, INC | Chelsea, VT | $819K |
| Gifford Health Care, INC | Rochester, VT | $345K |
| Gifford Health Care, INC | Randolph, VT | $258K |
| Gifford Medical Center INC. | Randolph, VT | $218K |
| Gifford Health Care, INC | White River Junction, VT | $111K |
| Gifford Medical Center INC | Randolph, VT | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.