Clinic
Northeastern Vermont Regional Hospital, INC
Northeastern Vermont Regional Hospital, INC was paid $2.72M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoNORTHEASTERN VERMONT REGIONAL HOSPITAL, INC
ST JOHNSBURY, VT 05819
ST JOHNSBURY, VT 05819
33aNPI1487732301assigned 11/01/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$2.72M
24GClaims132,576
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Vermont
Rank by total paid#1 of 6
Median peer was paid$69K
This provider vs. median39×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HERSEY, ROBERT controls 13+ related entities in our dataset. Read more
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 | 17,726 | $1.15M | |
| 2019 | 18,584 | $395K | |
| 2020 | 14,104 | $223K | |
| 2021 | 18,209 | $250K | |
| 2022 | 23,544 | $262K | |
| 2023 | 21,956 | $232K | |
| 2024incomplete | 18,453 | $207K |
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 | 97% | 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 | <1% | 694 | 611 | $21K |
| 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% | 24,787 | 20,292 | $17K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,293 | 1,238 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 811 | 738 | $5K |
| 96161 | <1% | 1,709 | 1,586 | $5K | |
| 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% | 5,564 | 4,804 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,090 | 903 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,005 | 2,484 | $3K |
| 96127 | <1% | 744 | 628 | $3K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 493 | 432 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,856 | 3,106 | $2K |
30 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,970 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,849 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,577 | $1K |
| 87081 | <1% | 238 | $731.93 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,409 | $228.32 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 34 | $169.92 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 44 | $137.46 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,146 | $111.54 |
| 96160 | <1% | 128 | $108.44 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 234 | $82.16 |
| 90686 | <1% | 1,928 | $48.06 | |
| 92551 | <1% | 42 | $17.26 | |
| 36416 | 0% | 213 | $0.00 | |
| 90677 | 0% | 135 | $0.00 | |
| 90656 | 0% | 90 | $0.00 | |
| 90474 | 0% | 16 | $0.00 | |
| 90480 | 0% | 18 | $0.00 | |
| 90723 | 0% | 82 | $0.00 | |
| 90651 | 0% | 66 | $0.00 | |
| 91307 | 0% | 36 | $0.00 | |
| 90697 | 0% | 44 | $0.00 | |
| 99177 | 0% | 122 | $0.00 | |
| 90648 | 0% | 136 | $0.00 | |
| 90682 | 0% | 177 | $0.00 | |
| 90670 | 0% | 195 | $0.00 | |
| 90633 | 0% | 30 | $0.00 | |
| 90658 | 0% | 63 | $0.00 | |
| 90671 | 0% | 12 | $0.00 | |
| 90734 | 0% | 16 | $0.00 | |
| 90681 | 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 officialHERSEY, ROBERT (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.