Medicaid Provider Spending

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

NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC

NPI: 1326081811 · 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

$40K
Total Medicaid Paid
1,970
Total Claims
1,602
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
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 $73K
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 391 $20K
2019 330 $6K
2020 169 $1K
2021 190 $3K
2022 290 $5K
2023 323 $3K
2024 277 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,631 1,320 $33K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 215 172 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 14 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65 56 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 30 27 $688.59
99201 13 13 $0.00