Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Brattleboro Memorial Hospital

Brattleboro Memorial Hospital was paid $2.37M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99284, emergency room visit (serious) — 21% of everything it billed.

33Billing provider infoBRATTLEBORO MEMORIAL HOSPITAL
BRATTLEBORO, VT 05301
33aNPI1306849708assigned 05/31/2005
33bProvider typeFamily Medicine Physician
28Total paid$2.37M
24GClaims117,153
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Vermont

Rank by total paid#8 of 53
Median peer was paid$77K
This provider vs. median31×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201825,243$435K
201928,829$490K
202014,870$260K
202113,684$312K
202212,672$342K
202312,970$310K
2024incomplete8,885$218K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 21% 9,210 7,348 $498K
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 21% 21,099 16,785 $490K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 21,288 17,066 $408K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 8,536 7,015 $350K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.5% 623 476 $84K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.0% 4,493 2,738 $47K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.7% 1,182 1,082 $40K
90460 Immunization administration through 18 years of age via any route, first or only component 1.6% 3,243 2,310 $38K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.5% 15,616 10,978 $36K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.3% 1,338 643 $30K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1.1% 644 534 $26K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.1% 646 559 $25K
78 more codes
99308 Subsequent nursing facility care, per day, straightforward 1.0% 2,843 $25K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 994 $24K
99232 Hospital visit by a doctor, follow-up day <1% 1,181 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 859 $19K
99204 Doctor's office visit, new patient (more involved) <1% 337 $17K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 470 $15K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,360 $14K
80053 Comprehensive metabolic panel <1% 1,773 $14K
99239 Hospital discharge day management, more than 30 minutes <1% 497 $13K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 251 $13K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 600 $11K
90461 <1% 1,074 $10K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 17 $9K
99205 Prolong outpt/office vis <1% 211 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 2,820 $9K
64615 <1% 92 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 201 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 404 $5K
96361 Intravenous infusion, hydration; each additional hour <1% 70 $5K
80305 <1% 1,397 $4K
81000 <1% 687 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 666 $3K
99354 <1% 89 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 45 $3K
99307 <1% 323 $3K
84443 Thyroid stimulating hormone (TSH) <1% 365 $3K
90480 <1% 86 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 137 $2K
71046 Radiologic examination, chest; 2 views <1% 57 $2K
99443 <1% 124 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 152 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 64 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 643 $1K
99442 <1% 69 $1K
59025 Fetal non-stress test <1% 129 $1K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 323 $1K
80048 Basic metabolic panel (calcium, ionized) <1% 259 $973.46
90686 <1% 1,732 $891.28
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 27 $808.35
81003 <1% 924 $752.55
36415 Collection of venous blood by venipuncture <1% 2,037 $560.96
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 12 $557.69
96375 Therapeutic injection; each additional sequential IV push <1% 16 $512.93
99223 Prolong inpt eval add15 m <1% 12 $473.37
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 32 $452.20
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 20 $423.61
99173 <1% 720 $347.65
99335 <1% 19 $316.11
20610 <1% 30 $306.39
87086 Culture, bacterial; quantitative colony count, urine <1% 91 $276.85
84703 <1% 70 $255.49
11721 <1% 29 $232.31
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 53 $192.35
87430 <1% 201 $188.72
83036 Hemoglobin; glycosylated (A1C) <1% 32 $177.39
99217 <1% 18 $160.94
99310 Prolong nursin fac eval 15m <1% 18 $137.00
87400 <1% 30 $132.79
91320 <1% 17 $131.15
94760 <1% 146 $125.99
80061 Lipid panel <1% 12 $110.16
T1013 Sign language or oral interpretive services, per 15 minutes <1% 84 $105.00
93000 <1% 16 $82.02
G9001 Coordinated care fee, initial rate <1% 13 $81.60
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 25 $79.26
G0444 Annual depression screening, 5 to 15 minutes <1% 27 $79.20
99441 <1% 24 $70.70
87081 <1% 12 $51.48
99000 <1% 532 $41.63
83690 <1% 16 $35.52
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) <1% 129 $26.22
90723 0% 31 $0.00
90633 0% 12 $0.00
90648 0% 51 $0.00
90661 0% 37 $0.00
90685 0% 93 $0.00
90670 0% 81 $0.00
99080 0% 85 $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 officialCHAMPNEY, REINA (CREDENTIALING MANAGER)