Clinic
Northeast Kingdom Human Services INC DS Waiver
Northeast Kingdom Human Services INC DS Waiver was paid $204.76M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 70% of everything it billed.
33Billing provider infoNORTHEAST KINGDOM HUMAN SERVICES INC DS WAIVER
NEWPORT, VT 05855
NEWPORT, VT 05855
33aNPI1538292768assigned 03/14/2007
33bProvider typeDevelopmental Disabilities Clinic/Center
28Total paid$204.76M
24GClaims672,713
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Developmental Disabilities Clinic/Center providers in Vermont
Rank by total paid#2 of 7
Median peer was paid$59.60M
This provider vs. median3.4×
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 | 24,326 | $22.43M | |
| 2019 | 26,459 | $25.25M | |
| 2020 | 14,057 | $26.38M | |
| 2021 | 151,440 | $27.79M | |
| 2022 | 149,338 | $32.43M | |
| 2023 | 164,539 | $36.04M | |
| 2024incomplete | 142,554 | $34.44M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 70% | 19,452 | 18,666 | $144.13M |
| H2022 | Community-based wrap-around services, per diem | 30% | 62,761 | 9,830 | $60.63M |
| S5151 | Unskilled respite care, not hospice; per diem | 0% | 20,035 | 3,324 | $0.00 |
| H2025 | Ongoing support to maintain employment, per 15 minutes | 0% | 30,192 | 3,086 | $0.00 |
| S5140 | Foster care, adult; per diem | 0% | 197,701 | 5,851 | $0.00 |
| H2023 | Supported employment, per 15 minutes | 0% | 883 | 326 | $0.00 |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 0% | 46,730 | 4,794 | $0.00 |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 0% | 34,616 | 1,100 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 205 | 85 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 153 | 148 | $0.00 |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 0% | 4,501 | 137 | $0.00 |
| H2011 | Crisis intervention service, per 15 minutes | 0% | 74 | 26 | $0.00 |
6 more codes
| T2021 | Day program for adults with developmental disabilities, per 15 minutes | 0% | 83,685 | $0.00 |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 0% | 16,088 | $0.00 |
| T2017 | Habilitation, residential, waiver; 15 minutes | 0% | 11,745 | $0.00 |
| T1016 | Case management, each 15 minutes | 0% | 143,795 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 37 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 60 | $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 officialGRIMS, ERIC (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Northeast Kingdom Human Services INC SBS | Newport, VT | $8.34M |
| Northeast Kingdom Human Services INC MH Children | Newport, VT | $2.65M |
| Northeast Kingdom Human Services INC HBKF | Newport, VT | $1.61M |
| Northeast Kingdom Human Services INC DS | Newport, VT | $1.46M |
| Northeast Kingdom Human Services INC Sa | Newport, VT | $1.04M |
| Northeast Kingdom Human Services INC Vhap | Newport, VT | $248K |
| Northeast Kingdom Human Services INC MH Waiver | Newport, VT | $185K |
| Northeast Kingdom Human Services INC MH Adult | Newport, VT | $172K |
| Northeast Kingdom Human Services INC PC | Newport, VT | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.