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

University of Vermont Medical Center INC

University of Vermont Medical Center INC was paid $17.56M by Medicaid between Jan 2018 and Dec 2024, across 369 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.

33Billing provider infoUNIVERSITY OF VERMONT MEDICAL CENTER INC
BURLINGTON, VT 05401
33aNPI1659309615assigned 06/29/2006
28Total paid$17.56M
24GClaims885,660
24DCodes billed369
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
2018131,069$3.88M
2019123,493$2.77M
202092,150$1.58M
2021120,698$2.54M
2022118,688$2.39M
2023156,694$2.49M
2024incomplete142,868$1.90M
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 21% 121,892 112,648 $3.60M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 91,511 85,854 $1.82M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.4% 47,375 45,556 $1.47M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.2% 31,191 29,789 $1.44M
88305 Level IV - Surgical pathology, gross and microscopic examination 4.1% 32,248 30,352 $722K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.3% 29,562 10,657 $588K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.1% 13,444 13,049 $538K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.4% 7,309 6,792 $427K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.2% 5,987 5,782 $378K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.8% 5,290 2,972 $311K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.6% 5,931 5,371 $289K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.6% 11,835 11,258 $279K
357 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 10,984 $231K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.2% 5,209 $217K
99283 Emergency room visit (moderate) 1.2% 10,329 $204K
99233 Hospital visit by a doctor, follow-up day (complex) 1.1% 6,743 $191K
70450 Computed tomography, head or brain; without contrast material <1% 14,749 $161K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 69,620 $153K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 423 $137K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,366 $122K
99205 Prolong outpt/office vis <1% 1,348 $119K
76818 <1% 1,982 $115K
S0311 Comprehensive management and care coordination for advanced illness, per calendar month <1% 75 $114K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,984 $112K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 3,158 $112K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 1,125 $112K
67028 Intravitreal injection of a pharmacologic agent <1% 3,146 $109K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 22,989 $109K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 889 $92K
71046 Radiologic examination, chest; 2 views <1% 25,738 $87K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 5,165 $87K
71045 Radiologic examination, chest; single view <1% 26,069 $84K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,302 $81K
76770 <1% 3,415 $73K
92567 <1% 10,800 $71K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 6,210 $71K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 5,935 $70K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,312 $69K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,250 $62K
90472 Immunization administration, each additional vaccine (list separately) <1% 6,039 $60K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 1,207 $60K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 1,034 $59K
88307 <1% 1,399 $58K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 256 $56K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 809 $54K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,116 $54K
92557 <1% 3,417 $53K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,058 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 6,417 $49K
64615 <1% 1,281 $49K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,874 $48K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,874 $48K
H0001 Alcohol and/or drug assessment <1% 289 $47K
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% 353 $47K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 1,694 $46K
90870 <1% 2,347 $45K
99480 Subsequent intensive care, per day, low birth weight infant <1% 431 $44K
99223 Prolong inpt eval add15 m <1% 851 $44K
95720 <1% 529 $43K
72125 Computed tomography, cervical spine; without contrast material <1% 2,974 $43K
90847 Family psychotherapy with the patient present, 50 minutes <1% 1,981 $38K
90480 <1% 997 $38K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,897 $37K
92579 <1% 1,704 $37K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 2,100 $37K
99238 Hospital discharge day management, 30 minutes or less <1% 1,041 $36K
93000 <1% 4,676 $35K
90834 Psychotherapy session, about 45 minutes <1% 2,751 $35K
96375 Therapeutic injection; each additional sequential IV push <1% 686 $32K
95951 <1% 157 $30K
92134 <1% 5,628 $29K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,609 $28K
92060 <1% 1,796 $27K
94060 <1% 1,825 $26K
80053 Comprehensive metabolic panel <1% 2,430 $26K
76820 <1% 1,081 $26K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 714 $24K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 700 $22K
99239 Hospital discharge day management, more than 30 minutes <1% 745 $21K
74018 <1% 4,588 $21K
76821 <1% 394 $19K
70496 <1% 662 $18K
99468 <1% 28 $18K
99222 Initial hospital care, per day, moderate complexity <1% 580 $17K
93976 <1% 1,366 $17K
31575 <1% 449 $16K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 376 $16K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,018 $16K
86334 <1% 1,865 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,551 $15K
90832 Psychotherapy session, about 30 minutes <1% 1,383 $15K
88141 <1% 2,114 $15K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 176 $15K
31231 <1% 296 $15K
84443 Thyroid stimulating hormone (TSH) <1% 1,042 $15K
99460 <1% 253 $15K
36415 Collection of venous blood by venipuncture <1% 4,138 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 716 $14K
92133 <1% 1,174 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 75 $13K
86900 <1% 290 $13K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 306 $13K
71250 <1% 904 $12K
99308 Subsequent nursing facility care, per day, straightforward <1% 938 $12K
92587 <1% 1,260 $12K
90837 Psychotherapy session, about an hour <1% 587 $12K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 613 $12K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 58 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,354 $10K
92083 <1% 405 $10K
76830 Ultrasound, transvaginal <1% 738 $10K
90935 Hemodialysis procedure with single evaluation by a physician <1% 749 $10K
70498 <1% 473 $9K
95886 <1% 489 $9K
73630 <1% 4,047 $9K
99310 Prolong nursin fac eval 15m <1% 411 $9K
92555 <1% 791 $9K
97803 <1% 720 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 1,788 $9K
73610 <1% 3,035 $8K
90846 Family psychotherapy without the patient present, 50 minutes <1% 857 $8K
90792 Psychiatric diagnostic evaluation with medical services <1% 348 $8K
90686 <1% 11,567 $8K
93325 <1% 1,858 $8K
72082 <1% 851 $7K
73564 <1% 2,341 $7K
93971 <1% 572 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 875 $7K
93320 <1% 826 $7K
80048 Basic metabolic panel (calcium, ionized) <1% 258 $7K
78815 Positron emission tomography (PET) for limited area imaging <1% 191 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 323 $6K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,180 $6K
90961 <1% 130 $6K
88112 <1% 714 $6K
95816 <1% 215 $6K
00170 Anesthesia for intraoral procedures, including biopsy <1% 279 $6K
76642 <1% 891 $6K
97802 <1% 386 $6K
85027 <1% 1,054 $6K
92082 <1% 433 $6K
17110 <1% 159 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 280 $6K
20611 <1% 246 $5K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 27 $5K
76506 <1% 224 $5K
86850 <1% 276 $5K
92552 <1% 358 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 458 $5K
88304 <1% 1,075 $4K
83020 <1% 661 $4K
99462 <1% 156 $4K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 450 $4K
91322 <1% 38 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 110 $4K
73030 <1% 1,646 $4K
88342 <1% 229 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 159 $3K
88189 <1% 58 $3K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 262 $3K
80051 <1% 159 $3K
81003 <1% 3,459 $3K
86901 <1% 290 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 370 $3K
85390 <1% 265 $3K
93018 <1% 689 $3K
93922 <1% 251 $3K
92504 <1% 458 $3K
73502 <1% 885 $2K
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% 2,955 $2K
11100 <1% 55 $2K
88173 <1% 84 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 102 $2K
59025 Fetal non-stress test <1% 133 $2K
0072A <1% 51 $2K
29075 <1% 74 $2K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 42 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 71 $2K
64493 <1% 33 $2K
77080 <1% 609 $2K
0071A <1% 55 $2K
76536 <1% 215 $2K
72110 <1% 235 $2K
99335 <1% 27 $2K
96127 <1% 2,640 $2K
93970 <1% 55 $2K
90791 Psychiatric diagnostic evaluation <1% 45 $2K
93307 <1% 145 $1K
0124A <1% 40 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 358 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 653 $1K
73100 <1% 419 $1K
82728 <1% 146 $1K
92551 <1% 927 $1K
73110 <1% 633 $1K
82565 <1% 512 $1K
99292 <1% 40 $1K
86140 <1% 541 $1K
76885 <1% 38 $1K
95874 <1% 200 $1K
72100 <1% 266 $1K
73130 <1% 566 $1K
72141 <1% 30 $1K
00104 <1% 117 $982.73
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 57 $973.36
93298 <1% 141 $907.30
72170 <1% 221 $883.31
84439 <1% 98 $843.32
69210 <1% 38 $822.37
81025 <1% 262 $818.13
71271 <1% 69 $816.10
86335 <1% 66 $808.64
99451 <1% 29 $799.40
82570 <1% 213 $782.97
83735 <1% 404 $772.19
80076 <1% 91 $771.17
99442 <1% 26 $741.25
93308 <1% 102 $687.75
99417 Prolong home eval add 15m <1% 15 $687.11
95782 <1% 14 $677.96
87086 Culture, bacterial; quantitative colony count, urine <1% 125 $644.01
29065 <1% 15 $602.13
92553 <1% 42 $599.81
81001 <1% 321 $592.41
72156 <1% 12 $582.48
64642 <1% 33 $581.33
94010 <1% 156 $573.18
87070 <1% 125 $551.74
92225 <1% 34 $538.79
99221 <1% 20 $534.41
77066 Tomosynthesis, mammo <1% 67 $528.04
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 14 $521.13
0154A <1% 14 $520.00
20610 <1% 32 $512.71
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 14 $501.80
64494 <1% 18 $496.72
99173 <1% 1,429 $464.79
84520 <1% 241 $454.55
88312 <1% 30 $438.19
91200 <1% 27 $430.34
73140 <1% 294 $406.36
J2704 Injection, propofol, 10 mg <1% 3,360 $399.06
G9001 Coordinated care fee, initial rate <1% 232 $367.20
77073 <1% 96 $362.02
90474 <1% 37 $359.09
99441 <1% 47 $355.63
D0145 Oral evaluation for a patient under three years of age <1% 12 $351.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 12 $345.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 109 $339.66
92201 <1% 16 $337.88
72131 <1% 26 $337.72
82784 <1% 51 $337.24
93288 <1% 51 $334.11
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 12 $329.28
76604 <1% 48 $314.77
90962 <1% 13 $313.52
73070 <1% 93 $302.22
62323 <1% 12 $293.00
77092 <1% 112 $289.50
85610 <1% 185 $284.08
85652 <1% 263 $270.15
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 154 $262.17
70486 <1% 27 $251.70
73560 <1% 78 $246.03
93248 <1% 45 $242.18
78320 <1% 13 $240.45
73590 <1% 116 $229.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 169 $227.94
77065 Tomosynthesis, mammo <1% 16 $222.80
76641 <1% 17 $220.94
92020 <1% 29 $215.28
95251 <1% 42 $189.63
J7030 Infusion, normal saline solution , 1000 cc <1% 161 $183.61
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 13 $180.80
99401 <1% 28 $173.65
83550 <1% 25 $163.95
73090 <1% 69 $162.03
83540 <1% 39 $161.80
73080 <1% 71 $146.13
99188 <1% 112 $144.71
84100 <1% 60 $143.13
77072 <1% 43 $137.86
88302 <1% 54 $131.93
92015 Determination of refractive state <1% 19 $127.28
72128 <1% 12 $125.99
93227 <1% 29 $124.56
72050 <1% 13 $120.89
92588 <1% 15 $120.00
88341 <1% 13 $119.68
87077 <1% 14 $111.10
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,734 $108.23
87186 <1% 13 $108.12
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 118 $107.42
99354 <1% 13 $104.60
Q4050 Cast supplies, for unlisted types and materials of casts <1% 277 $102.24
96900 <1% 49 $100.80
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,777 $99.87
76882 <1% 22 $99.73
51798 <1% 12 $95.12
85018 <1% 213 $94.76
93295 <1% 12 $93.67
92593 <1% 16 $88.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,198 $88.15
99307 <1% 16 $84.52
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 682 $78.12
73562 <1% 28 $60.06
76870 <1% 13 $52.84
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,356 $50.40
82043 <1% 16 $43.38
77089 <1% 80 $41.11
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,546 $37.07
93356 <1% 39 $35.95
J7050 Infusion, normal saline solution, 250 cc <1% 114 $35.31
J0690 Injection, cefazolin sodium, 500 mg <1% 571 $34.51
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,834 $31.27
82040 <1% 12 $30.95
87205 <1% 13 $29.70
84156 <1% 13 $27.54
93321 <1% 12 $23.72
J7999 Compounded drug, not otherwise classified <1% 27 $22.77
73552 <1% 13 $20.19
77001 <1% 12 $14.92
94729 <1% 13 $13.86
83655 <1% 12 $11.99
76937 <1% 12 $11.17
83690 <1% 15 $8.61
J1596 Injection, glycopyrrolate, 0.1 mg <1% 38 $4.32
36416 <1% 1,815 $3.32
J1170 Injection, hydromorphone, up to 4 mg <1% 42 $2.38
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 188 $1.48
91311 <1% 45 $0.27
90691 <1% 92 $0.02
90674 <1% 100 $0.01
90656 <1% 415 $0.01
90717 <1% 25 $0.01
3074F 0% 12,269 $0.00
91307 0% 231 $0.00
G0378 Hospital observation service, per hour 0% 458 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 148 $0.00
3079F 0% 266 $0.00
90723 0% 166 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 30 $0.00
90680 0% 37 $0.00
C9399 Unclassified drugs or biologicals 0% 82 $0.00
J3490 Unclassified drugs 0% 27 $0.00
90677 0% 54 $0.00
91319 0% 93 $0.00
G0008 Administration of influenza virus vaccine 0% 26 $0.00
90651 0% 38 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 0% 16 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 0% 14 $0.00
91318 0% 27 $0.00
91315 0% 14 $0.00
3078F 0% 12,753 $0.00
90671 0% 27 $0.00
90670 0% 422 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 51 $0.00
90661 0% 569 $0.00
90633 0% 240 $0.00
3077F 0% 85 $0.00
90648 0% 377 $0.00
99080 0% 47 $0.00
90685 0% 193 $0.00
99411 0% 34 $0.00
91312 0% 53 $0.00
91320 0% 76 $0.00
90715 0% 27 $0.00
95718 0% 12 $0.00
90713 0% 27 $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 officialVINCENT, RICK (CHIEF FINANCIAL OFFICER)