Clinic
Northern Counties Health Care, INC.
Northern Counties Health Care, INC. was paid $1.26M by Medicaid between Dec 2020 and Dec 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoNORTHERN COUNTIES HEALTH CARE, INC.
ST JOHNSBURY, VT 05819
ST JOHNSBURY, VT 05819
33aNPI1639783095assigned 09/03/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.26M
24GClaims15,781
24DCodes billed11
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Vermont
Rank by total paid#16 of 33
Median peer was paid$1.23M
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 65 | $7K | |
| 2021 | 2,379 | $216K | |
| 2022 | 4,734 | $379K | |
| 2023 | 4,447 | $346K | |
| 2024incomplete | 4,156 | $309K |
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 | 96% | 7,260 | 6,581 | $1.21M |
| 87428 | 3.3% | 1,470 | 1,358 | $41K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 689 | 627 | $10K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 84 | 76 | $449.16 |
| 36415 | Collection of venous blood by venipuncture | <1% | 55 | 46 | $250.16 |
| 81002 | <1% | 27 | 26 | $75.53 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 647 | 602 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 3,326 | 3,010 | $0.00 |
| 99000 | 0% | 825 | 753 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 86 | 80 | $0.00 |
| 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 | 0% | 1,312 | 1,205 | $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 officialELLIOTT, MEGHAN (HUMAN RESOURCES ASSISTANT)
Parent organizationNORTHERN COUNTIES HEALTH CARE, INC.