Medicaid Provider Spending

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

NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC

NPI: 1487732301 · ST JOHNSBURY, VT 05819 · Primary Care Clinic/Center · NPI assigned 11/01/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HERSEY, ROBERT controls 13+ related entities in our dataset. Read more

$2.72M
Total Medicaid Paid
132,576
Total Claims
107,459
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERSEY, ROBERT (CFO)
NPI Enumeration Date11/01/2006

Related Entities

Other providers sharing the same authorized official: HERSEY, ROBERT

ProviderCityStateTotal Paid
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, 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 17,726 $1.15M
2019 18,584 $395K
2020 14,104 $223K
2021 18,209 $250K
2022 23,544 $262K
2023 21,956 $232K
2024 18,453 $207K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 63,464 50,402 $2.64M
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 694 611 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,787 20,292 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,293 1,238 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 811 738 $5K
96161 1,709 1,586 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,564 4,804 $4K
90832 Psychotherapy, 30 minutes with patient 1,090 903 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,005 2,484 $3K
96127 744 628 $3K
90837 Psychotherapy, 53 minutes with patient 493 432 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,856 3,106 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,970 1,386 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,849 1,456 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,577 2,146 $1K
87081 238 216 $731.93
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,409 8,510 $228.32
90834 Psychotherapy, 45 minutes with patient 34 26 $169.92
90847 Family psychotherapy with the patient present, 50 minutes 44 38 $137.46
90472 Immunization administration, each additional vaccine (list separately) 4,146 3,364 $111.54
96160 128 86 $108.44
99215 Prolong outpt/office vis 234 178 $82.16
90686 1,928 1,635 $48.06
92551 42 40 $17.26
36416 213 178 $0.00
90677 135 108 $0.00
90656 90 85 $0.00
90474 16 12 $0.00
90480 18 13 $0.00
90723 82 64 $0.00
90651 66 52 $0.00
91307 36 24 $0.00
90697 44 29 $0.00
99177 122 95 $0.00
90648 136 120 $0.00
90682 177 106 $0.00
90670 195 150 $0.00
90633 30 26 $0.00
90658 63 55 $0.00
90671 12 12 $0.00
90734 16 13 $0.00
90681 16 12 $0.00