Medicaid Provider Spending

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

GIFFORD HEALTH CARE, INC

NPI: 1326478702 · RANDOLPH, VT 05060 · Federally Qualified Health Center (FQHC) · NPI assigned 11/20/2013

$8.43M
Total Medicaid Paid
104,272
Total Claims
89,451
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOSTA, MICHAEL (CEO)
Parent OrganizationGIFFORD HEALTH CARE, INC
NPI Enumeration Date11/20/2013

Related Entities

Other providers sharing the same authorized official: COSTA, MICHAEL

ProviderCityStateTotal Paid
GIFFORD HEALTH CARE, INC BARRE VT $2.05M
NORTHERN COUNTIES HEALTH CARE, INC. ST JOHNSBURY VT $1.85M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,991 $1.19M
2019 18,710 $1.20M
2020 13,306 $989K
2021 14,281 $1.15M
2022 15,547 $1.34M
2023 14,155 $1.39M
2024 11,282 $1.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 52,091 42,982 $8.36M
G0467 Federally 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 2,506 2,114 $37K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,827 10,422 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,079 16,072 $11K
90837 Psychotherapy, 53 minutes with patient 284 115 $668.80
99215 Prolong outpt/office vis 945 820 $517.80
90832 Psychotherapy, 30 minutes with patient 60 46 $379.20
90792 Psychiatric diagnostic evaluation with medical services 31 31 $140.70
90686 1,730 1,598 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,803 5,375 $0.00
96127 375 324 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,915 1,824 $0.00
90656 160 157 $0.00
90834 Psychotherapy, 45 minutes with patient 567 240 $0.00
G0008 Administration of influenza virus vaccine 24 24 $0.00
90723 38 37 $0.00
99308 Subsequent nursing facility care, per day, straightforward 27 27 $0.00
90480 14 12 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,097 1,020 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,066 905 $0.00
90670 311 290 $0.00
90472 Immunization administration, each additional vaccine (list separately) 2,233 2,087 $0.00
99173 355 342 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,721 1,638 $0.00
90648 229 211 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 110 98 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 290 280 $0.00
92552 226 219 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 77 72 $0.00
90685 67 55 $0.00
90671 14 14 $0.00