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

Mary Hitchcock Memorial Hospital

Mary Hitchcock Memorial Hospital was paid $3.75M by Medicaid between Jun 2023 and Dec 2024, across 212 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoMARY HITCHCOCK MEMORIAL HOSPITAL
LEBANON, NH 03756
33aNPI1629788237assigned 12/05/2022
33bProvider typeInternal Medicine Physician
28Total paid$3.75M
24GClaims143,991
24DCodes billed212
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in New Hampshire

Rank by total paid#4 of 34
Median peer was paid$13K
This provider vs. median281×

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$200K$400K2018201920202021202220232024
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
202343,749$1.23M
2024incomplete100,242$2.52M
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 43% 29,405 27,129 $1.62M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 19,089 17,875 $748K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.8% 2,433 2,286 $143K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.4% 1,927 1,888 $129K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.8% 1,575 1,544 $103K
99244 Office or other outpatient consultation, moderate to high complexity 2.1% 888 867 $80K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.9% 1,076 1,043 $73K
J0585 Injection, onabotulinumtoxina, 1 unit 1.9% 709 399 $70K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.5% 471 392 $55K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.3% 9,221 8,955 $49K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.2% 14,057 11,326 $44K
74018 <1% 1,828 1,728 $29K
200 more codes
99204 Doctor's office visit, new patient (more involved) <1% 519 $29K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 2,770 $28K
77067 Screening mammography, bilateral, including computer-aided detection <1% 231 $27K
99203 Doctor's office visit, new patient (routine) <1% 665 $25K
71046 Radiologic examination, chest; 2 views <1% 1,728 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 355 $24K
99205 Prolong outpt/office vis <1% 246 $19K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 155 $19K
99245 <1% 154 $19K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 474 $18K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 200 $17K
99284 Emergency room visit (serious) <1% 241 $17K
99285 Emergency room visit (most serious) <1% 232 $17K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 471 $17K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 238 $17K
90472 Immunization administration, each additional vaccine (list separately) <1% 3,089 $16K
76830 Ultrasound, transvaginal <1% 302 $15K
93000 <1% 933 $14K
92567 <1% 1,742 $13K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 689 $13K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 600 $13K
93325 <1% 358 $11K
76770 <1% 210 $11K
92558 <1% 614 $9K
77063 Screening digital breast tomosynthesis, bilateral <1% 231 $8K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 351 $8K
93320 <1% 154 $8K
99243 <1% 98 $8K
92579 <1% 437 $8K
64615 <1% 127 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 271 $5K
76819 Fetal biophysical profile; without non-stress testing <1% 90 $5K
90837 Psychotherapy session, about an hour <1% 52 $5K
94010 <1% 292 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 90 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 907 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 87 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 1,382 $4K
99173 <1% 524 $3K
90686 <1% 2,291 $3K
20610 <1% 216 $3K
95117 <1% 266 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 160 $2K
70450 Computed tomography, head or brain; without contrast material <1% 81 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 327 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 25 $2K
92557 <1% 125 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 278 $2K
96361 Intravenous infusion, hydration; each additional hour <1% 206 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 2,768 $2K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 467 $2K
80053 Comprehensive metabolic panel <1% 2,269 $2K
G0444 Annual depression screening, 5 to 15 minutes <1% 203 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 792 $2K
51741 <1% 140 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 180 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 50 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 422 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 135 $2K
51798 <1% 139 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 769 $2K
99177 <1% 105 $2K
87631 <1% 36 $2K
97802 <1% 24 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 33 $1K
J7030 Infusion, normal saline solution , 1000 cc <1% 781 $1K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 237 $1K
84443 Thyroid stimulating hormone (TSH) <1% 1,060 $1K
81002 <1% 798 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 26 $1K
90791 Psychiatric diagnostic evaluation <1% 12 $1K
90656 <1% 1,335 $1K
90834 Psychotherapy session, about 45 minutes <1% 14 $1K
92587 <1% 35 $974.31
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 13 $953.40
D7240 Removal of impacted tooth - completely bony <1% 115 $902.26
90792 Psychiatric diagnostic evaluation with medical services <1% 14 $893.92
90832 Psychotherapy session, about 30 minutes <1% 31 $874.81
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 27 $838.35
91322 <1% 96 $807.61
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 414 $755.53
J7050 Infusion, normal saline solution, 250 cc <1% 910 $657.21
J2704 Injection, propofol, 10 mg <1% 383 $643.84
80048 Basic metabolic panel (calcium, ionized) <1% 1,015 $633.16
80061 Lipid panel <1% 696 $596.21
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 120 $579.69
99242 <1% 16 $566.06
82728 <1% 457 $526.50
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 34 $508.66
76376 <1% 13 $504.08
73030 <1% 55 $474.87
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 17 $474.46
95251 <1% 41 $466.96
59025 Fetal non-stress test <1% 18 $466.65
83655 <1% 42 $457.08
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% 13 $423.84
83735 <1% 363 $384.65
97803 <1% 12 $383.96
87077 <1% 277 $362.79
73630 <1% 15 $356.14
73564 <1% 31 $336.10
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 59 $314.62
82570 <1% 276 $314.47
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 60 $294.12
90474 <1% 89 $291.54
84439 <1% 321 $286.97
90677 <1% 517 $245.76
82607 <1% 375 $239.61
71250 <1% 13 $215.82
17110 <1% 12 $215.52
64405 <1% 15 $215.42
87086 Culture, bacterial; quantitative colony count, urine <1% 409 $209.32
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 37 $208.68
83970 <1% 126 $187.84
84100 <1% 246 $180.59
82746 <1% 124 $179.79
86140 <1% 318 $172.34
86850 <1% 58 $170.18
83880 <1% 42 $166.94
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 124 $166.30
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 28 $162.86
85027 <1% 210 $146.16
90480 <1% 111 $145.95
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 28 $144.74
83550 <1% 398 $141.05
87070 <1% 105 $129.73
81001 <1% 327 $127.16
83615 <1% 136 $119.28
82962 <1% 386 $118.72
82784 <1% 117 $117.21
83540 <1% 400 $109.99
92552 <1% 13 $109.98
85610 <1% 325 $109.67
80076 <1% 161 $106.27
J7120 Ringers lactate infusion, up to 1000 cc <1% 771 $104.32
83690 <1% 109 $97.20
82043 <1% 183 $90.48
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 12 $80.12
96040 <1% 207 $72.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 338 $71.67
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 530 $70.63
82040 <1% 112 $62.82
92555 <1% 12 $62.04
87186 <1% 132 $61.57
85652 <1% 277 $58.23
J3010 Injection, fentanyl citrate, 0.1 mg <1% 396 $51.78
86901 <1% 69 $50.40
86900 <1% 69 $50.40
82248 <1% 67 $50.05
96161 <1% 65 $48.44
82565 <1% 96 $42.13
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 13 $38.39
84484 <1% 46 $37.04
81003 <1% 192 $35.28
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 13 $33.62
85018 <1% 14 $29.64
84550 <1% 64 $27.49
11721 <1% 13 $26.74
88342 <1% 32 $20.54
J0690 Injection, cefazolin sodium, 500 mg <1% 138 $18.82
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 312 $16.19
84460 <1% 12 $13.67
84450 <1% 12 $13.36
85730 <1% 14 $11.28
84156 <1% 28 $10.14
36591 <1% 31 $9.91
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 31 $9.00
87205 <1% 27 $8.04
J1170 Injection, hydromorphone, up to 4 mg <1% 64 $7.30
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 331 $6.89
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 79 $2.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 196 $1.96
73502 <1% 41 $1.51
J2004 Injection, lidocaine hcl with epinephrine, 1 mg <1% 12 $0.76
36415 Collection of venous blood by venipuncture 0% 3,907 $0.00
86364 0% 15 $0.00
G0008 Administration of influenza virus vaccine 0% 549 $0.00
90680 0% 90 $0.00
J3490 Unclassified drugs 0% 67 $0.00
90694 0% 67 $0.00
90697 0% 258 $0.00
G0009 Administration of pneumococcal vaccine 0% 57 $0.00
C1769 Guide wire 0% 16 $0.00
90619 0% 12 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 0% 16 $0.00
88341 0% 13 $0.00
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 0% 12 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 17 $0.00
73610 0% 13 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 191 $0.00
90670 0% 74 $0.00
95874 0% 77 $0.00
72100 0% 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 202 $0.00
80164 0% 12 $0.00
84165 0% 12 $0.00
90653 0% 93 $0.00
90633 0% 12 $0.00
90681 0% 26 $0.00
69210 0% 13 $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 officialFIELDING, WENDY (CHIEF FINANCIAL OFFICER)
Parent organizationMARY HITCHCOCK MEMORIAL HOSPITAL