Clinic
Little Rivers Health Care, INC.
Little Rivers Health Care, INC. was paid $12.10M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoLITTLE RIVERS HEALTH CARE, INC.
BRADFORD, VT 05033
BRADFORD, VT 05033
33aNPI1316165129assigned 04/24/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.10M
24GClaims116,049
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Vermont
Rank by total paid#4 of 33
Median peer was paid$1.23M
This provider vs. median9.9×
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 | 10,537 | $976K | |
| 2019 | 13,713 | $1.23M | |
| 2020 | 17,113 | $1.44M | |
| 2021 | 19,979 | $1.72M | |
| 2022 | 18,266 | $1.78M | |
| 2023 | 19,531 | $2.07M | |
| 2024incomplete | 16,910 | $2.88M |
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 | 99% | 63,906 | 42,131 | $12.02M |
| 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 | <1% | 2,670 | 2,227 | $55K |
| 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 | <1% | 12,542 | 10,659 | $18K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 11,497 | 5,784 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12,728 | 10,189 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 77 | 69 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 210 | 198 | $994.09 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 5,407 | 2,777 | $922.62 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,662 | 753 | $305.14 |
| 99348 | <1% | 1,470 | 1,308 | $170.40 | |
| 96160 | <1% | 969 | 920 | $159.76 | |
| 96161 | <1% | 509 | 490 | $116.44 |
16 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 336 | $63.14 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 79 | $5.00 |
| 90686 | 0% | 305 | $0.00 | |
| 99000 | 0% | 467 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 27 | $0.00 |
| 36416 | 0% | 12 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 13 | $0.00 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 24 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 27 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 131 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 781 | $0.00 |
| 90461 | 0% | 32 | $0.00 | |
| 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) | 0% | 81 | $0.00 |
| 99416 | Prolong outpt/office vis | 0% | 59 | $0.00 |
| 99326 | 0% | 12 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 16 | $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 officialBARTER, ANDREW (CEO)
| Provider | Location | Paid |
|---|---|---|
| Little Rivers Health Care, INC. | Bradford, VT | $115K |
| Little Rivers Health Care, INC. | Wells River, VT | $69K |
| Little Rivers Health Care, INC. | East Corinth, VT | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.