Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Dartmouth-Hitchcock Clinic

Dartmouth-Hitchcock Clinic was paid $31.39M by Medicaid between Jan 2018 and Dec 2024, across 315 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoDARTMOUTH-HITCHCOCK CLINIC
LEBANON, NH 03756
33aNPI1548210198assigned 05/12/2006
33bProvider typePediatrics Physician
28Total paid$31.39M
24GClaims978,576
24DCodes billed315
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New Hampshire

Rank by total paid#1 of 26
Median peer was paid$66K
This provider vs. median475×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2018170,350$4.76M
2019174,403$5.34M
2020133,503$4.10M
2021157,964$5.19M
2022162,641$5.76M
2023115,272$4.10M
2024incomplete64,443$2.13M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 29% 175,299 149,947 $9.11M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 97,659 87,069 $3.48M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.4% 21,112 18,773 $1.70M
88305 Level IV - Surgical pathology, gross and microscopic examination 4.4% 41,669 37,073 $1.38M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.8% 23,093 7,089 $870K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.5% 13,781 12,604 $771K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.2% 16,493 14,771 $689K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2.0% 7,901 1,148 $618K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.9% 9,387 8,799 $588K
D7240 Removal of impacted tooth - completely bony 1.9% 2,005 847 $581K
99244 Office or other outpatient consultation, moderate to high complexity 1.8% 6,672 6,321 $552K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.7% 6,457 5,739 $537K
303 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.7% 8,458 $521K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.6% 12,923 $490K
70450 Computed tomography, head or brain; without contrast material 1.5% 21,618 $476K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.5% 7,485 $466K
J0585 Injection, onabotulinumtoxina, 1 unit 1.5% 1,146 $458K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.4% 97,372 $453K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.4% 5,191 $442K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.3% 3,074 $406K
99215 Doctor's office visit, returning patient (complex) <1% 5,466 $300K
99232 Hospital visit by a doctor, follow-up day <1% 10,226 $240K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 45,346 $231K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,692 $229K
71046 Radiologic examination, chest; 2 views <1% 32,813 $222K
99203 Doctor's office visit, new patient (routine) <1% 5,048 $179K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 6,054 $177K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,478 $154K
71045 Radiologic examination, chest; single view <1% 39,942 $147K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 809 $146K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 781 $143K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 2,148 $142K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 13,299 $140K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,757 $135K
95720 <1% 1,487 $132K
99223 Prolong inpt eval add15 m <1% 1,625 $118K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 875 $117K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,386 $116K
88307 <1% 3,595 $116K
99243 <1% 1,809 $113K
90472 Immunization administration, each additional vaccine (list separately) <1% 18,134 $103K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 1,391 $98K
90834 Psychotherapy session, about 45 minutes <1% 1,726 $95K
78815 Positron emission tomography (PET) for limited area imaging <1% 1,236 $91K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 1,125 $86K
74018 <1% 9,641 $82K
99480 Subsequent intensive care, per day, low birth weight infant <1% 1,151 $80K
99239 Hospital discharge day management, more than 30 minutes <1% 1,681 $79K
93325 <1% 5,916 $74K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,406 $72K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 1,310 $67K
93000 <1% 5,549 $66K
76770 <1% 2,856 $64K
99245 <1% 534 $63K
95951 <1% 750 $60K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,339 $58K
90853 Group psychotherapy (other than of a multiple-family group) <1% 3,604 $58K
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician <1% 2,814 $56K
76830 Ultrasound, transvaginal <1% 1,644 $55K
67028 Intravitreal injection of a pharmacologic agent <1% 1,310 $50K
99205 Prolong outpt/office vis <1% 687 $48K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 187 $47K
00170 Anesthesia for intraoral procedures, including biopsy <1% 574 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,032 $45K
72125 Computed tomography, cervical spine; without contrast material <1% 1,731 $44K
99204 Doctor's office visit, new patient (more involved) <1% 818 $44K
99238 Hospital discharge day management, 30 minutes or less <1% 886 $43K
76825 <1% 741 $42K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 1,930 $42K
99460 <1% 952 $42K
D9239 <1% 316 $41K
71275 Computed tomographic angiography, chest, with contrast material <1% 972 $41K
92567 <1% 5,444 $41K
93320 <1% 1,337 $39K
94010 <1% 4,022 $36K
D9243 <1% 296 $36K
71250 <1% 1,319 $35K
93922 <1% 1,564 $35K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 583 $34K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,141 $34K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 148 $32K
93971 <1% 1,031 $32K
99242 <1% 679 $30K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 677 $28K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 731 $27K
99173 <1% 5,387 $27K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 133 $26K
51741 <1% 751 $26K
76827 <1% 741 $25K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,405 $25K
73630 <1% 4,587 $24K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 451 $24K
01922 <1% 192 $23K
92558 <1% 1,621 $22K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 450 $22K
99308 Subsequent nursing facility care, per day, straightforward <1% 2,993 $22K
90686 <1% 19,040 $21K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 439 $21K
74183 <1% 315 $20K
95117 <1% 2,863 $20K
D7230 <1% 93 $19K
92015 Determination of refractive state <1% 1,464 $18K
90832 Psychotherapy session, about 30 minutes <1% 515 $18K
64615 <1% 293 $18K
73610 <1% 3,316 $17K
99310 Prolong nursin fac eval 15m <1% 1,120 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,841 $16K
20610 <1% 1,013 $16K
93970 <1% 599 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 41 $15K
95886 <1% 337 $15K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 877 $14K
D7140 Extraction, erupted tooth or exposed root <1% 257 $12K
85060 <1% 1,684 $12K
73030 <1% 2,504 $12K
77002 <1% 1,058 $12K
88342 <1% 1,010 $12K
90792 Psychiatric diagnostic evaluation with medical services <1% 226 $12K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 168 $12K
90870 <1% 368 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 482 $12K
95953 <1% 114 $11K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,003 $11K
0071A <1% 411 $11K
83036 Hemoglobin; glycosylated (A1C) <1% 1,560 $10K
0072A <1% 367 $10K
88112 <1% 730 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 399 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 302 $10K
73110 <1% 1,843 $9K
88173 <1% 245 $9K
72100 <1% 1,092 $8K
88304 <1% 911 $8K
93880 <1% 135 $7K
73130 <1% 1,428 $7K
51798 <1% 838 $7K
76642 <1% 253 $7K
G0444 Annual depression screening, 5 to 15 minutes <1% 1,026 $7K
54150 <1% 102 $7K
0001A <1% 179 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 504 $6K
73564 <1% 726 $6K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 920 $6K
76819 Fetal biophysical profile; without non-stress testing <1% 180 $6K
90837 Psychotherapy session, about an hour <1% 65 $6K
0002A <1% 145 $6K
73502 <1% 1,016 $5K
73221 <1% 138 $5K
31575 <1% 122 $5K
99177 <1% 335 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 91 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 870 $5K
11721 <1% 679 $4K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education <1% 55 $4K
88188 <1% 141 $4K
92557 <1% 164 $4K
73560 <1% 955 $4K
92551 <1% 759 $4K
81002 <1% 2,191 $4K
72141 <1% 88 $4K
92587 <1% 129 $4K
D7220 <1% 13 $4K
93294 <1% 465 $3K
94729 <1% 921 $3K
0054A <1% 114 $3K
92579 <1% 208 $3K
00731 <1% 69 $3K
83655 <1% 359 $3K
73522 <1% 319 $3K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 161 $3K
99443 <1% 369 $3K
71271 <1% 34 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 169 $3K
93321 <1% 594 $3K
90474 <1% 942 $3K
76801 <1% 75 $3K
93295 <1% 134 $3K
J7050 Infusion, normal saline solution, 250 cc <1% 1,585 $3K
0004A <1% 113 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 111 $3K
90961 <1% 49 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 65 $3K
77072 <1% 386 $3K
72082 <1% 254 $3K
95718 <1% 38 $2K
95816 <1% 85 $2K
95911 <1% 27 $2K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 109 $2K
99222 Initial hospital care, per day, moderate complexity <1% 51 $2K
99152 <1% 403 $2K
94060 <1% 101 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 71 $2K
77014 <1% 73 $2K
97802 <1% 44 $2K
99335 <1% 48 $2K
93016 <1% 186 $2K
0064A <1% 62 $2K
99283 Emergency room visit (moderate) <1% 42 $2K
95806 <1% 26 $2K
93018 <1% 186 $1K
73562 <1% 281 $1K
95708 <1% 16 $1K
73080 <1% 282 $1K
0052A <1% 51 $1K
59025 Fetal non-stress test <1% 90 $1K
0124A <1% 52 $1K
74019 <1% 180 $1K
99381 <1% 34 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 43 $1K
95115 <1% 179 $1K
70496 <1% 27 $1K
72081 <1% 126 $1K
96127 <1% 318 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 218 $1K
91065 <1% 114 $1K
72040 <1% 169 $1K
76942 <1% 71 $971.32
95819 <1% 44 $949.85
93248 <1% 46 $946.70
90461 <1% 292 $938.15
62323 <1% 14 $800.62
76813 <1% 17 $795.00
95782 <1% 12 $753.86
93304 <1% 32 $748.84
88311 <1% 126 $735.80
73700 <1% 27 $723.46
70491 <1% 15 $707.38
72131 <1% 26 $703.03
70486 <1% 26 $654.72
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 15 $633.08
76857 <1% 37 $632.16
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 85 $631.95
95700 <1% 17 $626.26
85018 <1% 342 $624.00
99241 <1% 22 $621.82
76536 <1% 15 $608.81
99188 <1% 164 $606.56
70498 <1% 13 $529.21
99221 <1% 15 $524.46
73590 <1% 117 $522.48
99358 Prolong nursin fac eval 15m <1% 20 $522.28
99462 <1% 20 $521.12
0298T <1% 33 $513.53
17110 <1% 35 $472.83
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 31 $439.14
88108 <1% 53 $438.55
95719 <1% 16 $423.36
88302 <1% 72 $421.69
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 55 $412.67
00104 <1% 23 $412.01
77066 Tomosynthesis, mammo <1% 14 $408.17
76499 <1% 32 $388.49
88341 <1% 14 $373.45
0003A <1% 13 $360.14
96161 <1% 242 $325.16
85097 <1% 13 $324.68
82962 <1% 349 $320.64
85390 <1% 43 $317.36
73140 <1% 73 $316.02
0081A <1% 12 $302.60
86334 <1% 28 $294.92
11719 <1% 78 $290.27
92555 <1% 56 $271.13
88300 <1% 101 $262.29
99201 <1% 15 $247.92
92504 <1% 16 $247.36
11720 <1% 44 $239.42
84165 <1% 28 $226.24
93227 <1% 12 $223.13
88312 <1% 14 $213.93
99348 <1% 97 $207.96
88313 <1% 19 $207.33
96375 Therapeutic injection; each additional sequential IV push <1% 17 $189.74
93298 <1% 12 $183.98
80305 <1% 20 $170.38
90651 <1% 142 $166.82
90670 <1% 4,166 $140.22
G0127 Trimming of dystrophic nails, any number <1% 62 $136.11
64405 <1% 15 $122.54
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 46 $100.59
69210 <1% 17 $96.13
99347 <1% 30 $91.83
82947 <1% 49 $76.91
73090 <1% 13 $72.78
93246 <1% 13 $58.92
94726 <1% 15 $51.45
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 13 $4.43
G0008 Administration of influenza virus vaccine <1% 58 $1.96
91307 <1% 843 $0.71
91305 <1% 277 $0.20
91300 <1% 520 $0.17
91312 <1% 52 $0.09
91308 <1% 35 $0.05
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 186 $0.05
91306 <1% 62 $0.02
90698 <1% 1,991 $0.01
90633 0% 1,102 $0.00
90648 0% 1,188 $0.00
90685 0% 411 $0.00
90710 0% 28 $0.00
90734 0% 81 $0.00
90681 0% 157 $0.00
90707 0% 28 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 0% 16 $0.00
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 0% 16 $0.00
90715 0% 15 $0.00
90680 0% 906 $0.00
90744 0% 241 $0.00
90696 0% 28 $0.00
90723 0% 735 $0.00
90697 0% 211 $0.00
90716 0% 26 $0.00
99140 0% 16 $0.00
90619 0% 12 $0.00
96040 0% 12 $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 officialJANTZEN, DANIEL (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under JANTZEN, DANIEL

Full network →
ProviderLocationPaid
Mary Hitchcock Memorial HospitalLebanon, NH$32.31M
Dartmouth-Hitchcock ClinicKeene, NH$606K
Dartmouth-Hitchcock ClinicLebanon, NH$93K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.