Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY OF VERMONT MEDICAL CENTER INC

NPI: 1659309615 · BURLINGTON, VT 05401 · Transplant Surgery Physician · NPI assigned 06/29/2006

$17.56M
Total Medicaid Paid
885,660
Total Claims
786,472
Beneficiaries
369
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVINCENT, RICK (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 131,069 $3.88M
2019 123,493 $2.77M
2020 92,150 $1.58M
2021 120,698 $2.54M
2022 118,688 $2.39M
2023 156,694 $2.49M
2024 142,868 $1.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 121,892 112,648 $3.60M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 91,511 85,854 $1.82M
99284 Emergency department visit for the evaluation and management, high severity 47,375 45,556 $1.47M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 31,191 29,789 $1.44M
88305 Level IV - Surgical pathology, gross and microscopic examination 32,248 30,352 $722K
99232 Subsequent hospital care, per day, moderate complexity 29,562 10,657 $588K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13,444 13,049 $538K
99215 Prolong outpt/office vis 7,309 6,792 $427K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,987 5,782 $378K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,290 2,972 $311K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5,931 5,371 $289K
74177 Computed tomography, abdomen and pelvis; with contrast material 11,835 11,258 $279K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,984 10,464 $231K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 5,209 5,000 $217K
99283 Emergency department visit for the evaluation and management, moderate severity 10,329 9,916 $204K
99233 Prolong inpt eval add15 m 6,743 3,082 $191K
70450 Computed tomography, head or brain; without contrast material 14,749 12,846 $161K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 69,620 61,334 $153K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 423 308 $137K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,366 1,321 $122K
99205 Prolong outpt/office vis 1,348 1,326 $119K
76818 1,982 1,379 $115K
S0311 Comprehensive management and care coordination for advanced illness, per calendar month 75 75 $114K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,984 1,952 $112K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,158 2,989 $112K
99479 Subsequent intensive care, per day, very low birth weight infant 1,125 335 $112K
67028 Intravitreal injection of a pharmacologic agent 3,146 2,799 $109K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 22,989 22,198 $109K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 889 860 $92K
71046 Radiologic examination, chest; 2 views 25,738 24,199 $87K
T1013 Sign language or oral interpretive services, per 15 minutes 5,165 4,695 $87K
71045 Radiologic examination, chest; single view 26,069 20,442 $84K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,302 1,114 $81K
76770 3,415 3,335 $73K
92567 10,800 10,491 $71K
99231 Subsequent hospital care, per day, straightforward or low complexity 6,210 2,931 $71K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,935 5,432 $70K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,312 2,251 $69K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,250 1,210 $62K
90472 Immunization administration, each additional vaccine (list separately) 6,039 5,632 $60K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,207 573 $60K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,034 936 $59K
88307 1,399 1,332 $58K
J0585 Injection, onabotulinumtoxina, 1 unit 256 144 $56K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 809 772 $54K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,116 2,851 $54K
92557 3,417 3,303 $53K
71275 Computed tomographic angiography, chest, with contrast material 2,058 1,966 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,417 6,134 $49K
64615 1,281 1,216 $49K
77067 Screening mammography, bilateral, including computer-aided detection 5,874 5,737 $48K
70551 Magnetic resonance imaging, brain; without contrast material 1,874 1,746 $48K
H0001 Alcohol and/or drug assessment 289 253 $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 353 76 $47K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,694 1,575 $46K
90870 2,347 1,017 $45K
99480 Subsequent intensive care, per day, low birth weight infant 431 159 $44K
99223 Prolong inpt eval add15 m 851 809 $44K
95720 529 294 $43K
72125 Computed tomography, cervical spine; without contrast material 2,974 2,764 $43K
90847 Family psychotherapy with the patient present, 50 minutes 1,981 1,192 $38K
90480 997 963 $38K
77063 Screening digital breast tomosynthesis, bilateral 5,897 5,657 $37K
92579 1,704 1,675 $37K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,100 2,022 $37K
99238 Hospital discharge day management, 30 minutes or less 1,041 951 $36K
93000 4,676 4,579 $35K
90834 Psychotherapy, 45 minutes with patient 2,751 1,330 $35K
96375 Therapeutic injection; each additional sequential IV push 686 548 $32K
95951 157 82 $30K
92134 5,628 5,062 $29K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,609 1,289 $28K
92060 1,796 1,692 $27K
94060 1,825 1,790 $26K
80053 Comprehensive metabolic panel 2,430 2,141 $26K
76820 1,081 756 $26K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 714 641 $24K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 700 653 $22K
99239 Hospital discharge day management, more than 30 minutes 745 720 $21K
74018 4,588 3,121 $21K
76821 394 254 $19K
70496 662 625 $18K
99468 28 26 $18K
99222 Initial hospital care, per day, moderate complexity 580 535 $17K
93976 1,366 1,326 $17K
31575 449 439 $16K
95810 Polysomnography; sleep staging with 4 or more additional parameters 376 373 $16K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,018 985 $16K
86334 1,865 1,761 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,551 1,515 $15K
90832 Psychotherapy, 30 minutes with patient 1,383 828 $15K
88141 2,114 2,002 $15K
H0005 Alcohol and/or drug services; group counseling by a clinician 176 76 $15K
31231 296 287 $15K
84443 Thyroid stimulating hormone (TSH) 1,042 1,030 $15K
99460 253 219 $15K
36415 Collection of venous blood by venipuncture 4,138 3,914 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 716 694 $14K
92133 1,174 1,087 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 75 75 $13K
86900 290 265 $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 306 297 $13K
71250 904 848 $12K
99308 Subsequent nursing facility care, per day, straightforward 938 738 $12K
92587 1,260 1,244 $12K
90837 Psychotherapy, 53 minutes with patient 587 292 $12K
74176 Computed tomography, abdomen and pelvis; without contrast material 613 580 $12K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 58 55 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,354 2,943 $10K
92083 405 384 $10K
76830 Ultrasound, transvaginal 738 717 $10K
90935 Hemodialysis procedure with single evaluation by a physician 749 226 $10K
70498 473 450 $9K
95886 489 475 $9K
73630 4,047 3,561 $9K
99310 Prolong nursin fac eval 15m 411 345 $9K
92555 791 762 $9K
97803 720 708 $9K
83036 Hemoglobin; glycosylated (A1C) 1,788 1,701 $9K
73610 3,035 2,756 $8K
90846 Family psychotherapy without the patient present, 50 minutes 857 493 $8K
90792 Psychiatric diagnostic evaluation with medical services 348 340 $8K
90686 11,567 11,224 $8K
93325 1,858 1,749 $8K
72082 851 825 $7K
73564 2,341 1,926 $7K
93971 572 561 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 875 864 $7K
93320 826 787 $7K
80048 Basic metabolic panel (calcium, ionized) 258 216 $7K
78815 Positron emission tomography (PET) for limited area imaging 191 187 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 323 307 $6K
90853 Group psychotherapy (other than of a multiple-family group) 1,180 515 $6K
90961 130 127 $6K
88112 714 645 $6K
95816 215 203 $6K
00170 Anesthesia for intraoral procedures, including biopsy 279 275 $6K
76642 891 774 $6K
97802 386 378 $6K
85027 1,054 900 $6K
92082 433 391 $6K
17110 159 156 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 280 257 $6K
20611 246 229 $5K
42820 Tonsillectomy and adenoidectomy; younger than age 12 27 27 $5K
76506 224 166 $5K
86850 276 251 $5K
92552 358 352 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 458 447 $5K
88304 1,075 1,033 $4K
83020 661 486 $4K
99462 156 113 $4K
A9575 Injection, gadoterate meglumine, 0.1 ml 450 333 $4K
91322 38 28 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 110 96 $4K
73030 1,646 1,447 $4K
88342 229 214 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 159 147 $3K
88189 58 52 $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 262 255 $3K
80051 159 135 $3K
81003 3,459 3,198 $3K
86901 290 265 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 370 363 $3K
85390 265 256 $3K
93018 689 637 $3K
93922 251 237 $3K
92504 458 415 $3K
73502 885 865 $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) 2,955 2,821 $2K
11100 55 55 $2K
88173 84 64 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 102 102 $2K
59025 Fetal non-stress test 133 78 $2K
0072A 51 51 $2K
29075 74 67 $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) 42 25 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 71 71 $2K
64493 33 26 $2K
77080 609 595 $2K
0071A 55 46 $2K
76536 215 203 $2K
72110 235 228 $2K
99335 27 16 $2K
96127 2,640 2,534 $2K
93970 55 50 $2K
90791 Psychiatric diagnostic evaluation 45 39 $2K
93307 145 132 $1K
0124A 40 37 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 358 341 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 653 408 $1K
73100 419 356 $1K
82728 146 142 $1K
92551 927 897 $1K
73110 633 578 $1K
82565 512 465 $1K
99292 40 25 $1K
86140 541 524 $1K
76885 38 37 $1K
95874 200 191 $1K
72100 266 248 $1K
73130 566 493 $1K
72141 30 26 $1K
00104 117 87 $982.73
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 57 49 $973.36
93298 141 130 $907.30
72170 221 213 $883.31
84439 98 94 $843.32
69210 38 37 $822.37
81025 262 256 $818.13
71271 69 67 $816.10
86335 66 66 $808.64
99451 29 28 $799.40
82570 213 207 $782.97
83735 404 314 $772.19
80076 91 91 $771.17
99442 26 24 $741.25
93308 102 97 $687.75
99417 Prolong home eval add 15m 15 15 $687.11
95782 14 14 $677.96
87086 Culture, bacterial; quantitative colony count, urine 125 121 $644.01
29065 15 14 $602.13
92553 42 41 $599.81
81001 321 305 $592.41
72156 12 12 $582.48
64642 33 26 $581.33
94010 156 145 $573.18
87070 125 121 $551.74
92225 34 30 $538.79
99221 20 17 $534.41
77066 Tomosynthesis, mammo 67 65 $528.04
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 13 $521.13
0154A 14 13 $520.00
20610 32 24 $512.71
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 13 $501.80
64494 18 13 $496.72
99173 1,429 1,373 $464.79
84520 241 216 $454.55
88312 30 28 $438.19
91200 27 27 $430.34
73140 294 262 $406.36
J2704 Injection, propofol, 10 mg 3,360 2,176 $399.06
G9001 Coordinated care fee, initial rate 232 222 $367.20
77073 96 92 $362.02
90474 37 37 $359.09
99441 47 42 $355.63
D0145 Oral evaluation for a patient under three years of age 12 12 $351.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12 12 $345.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 109 104 $339.66
92201 16 12 $337.88
72131 26 26 $337.72
82784 51 51 $337.24
93288 51 43 $334.11
G0297 Low dose ct scan (ldct) for lung cancer screening 12 12 $329.28
76604 48 44 $314.77
90962 13 13 $313.52
73070 93 75 $302.22
62323 12 12 $293.00
77092 112 108 $289.50
85610 185 180 $284.08
85652 263 257 $270.15
96110 Developmental screening, with scoring and documentation, per standardized instrument 154 152 $262.17
70486 27 26 $251.70
73560 78 66 $246.03
93248 45 45 $242.18
78320 13 13 $240.45
73590 116 96 $229.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 169 166 $227.94
77065 Tomosynthesis, mammo 16 15 $222.80
76641 17 13 $220.94
92020 29 26 $215.28
95251 42 42 $189.63
J7030 Infusion, normal saline solution , 1000 cc 161 152 $183.61
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 13 13 $180.80
99401 28 25 $173.65
83550 25 24 $163.95
73090 69 50 $162.03
83540 39 38 $161.80
73080 71 65 $146.13
99188 112 108 $144.71
84100 60 53 $143.13
77072 43 43 $137.86
88302 54 52 $131.93
92015 Determination of refractive state 19 15 $127.28
72128 12 12 $125.99
93227 29 28 $124.56
72050 13 13 $120.89
92588 15 15 $120.00
88341 13 12 $119.68
87077 14 14 $111.10
J3010 Injection, fentanyl citrate, 0.1 mg 1,734 1,599 $108.23
87186 13 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) 118 113 $107.42
99354 13 12 $104.60
Q4050 Cast supplies, for unlisted types and materials of casts 277 227 $102.24
96900 49 13 $100.80
J7120 Ringers lactate infusion, up to 1000 cc 1,777 1,729 $99.87
76882 22 19 $99.73
51798 12 12 $95.12
85018 213 182 $94.76
93295 12 12 $93.67
92593 16 12 $88.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,198 1,100 $88.15
99307 16 14 $84.52
J0131 Injection, acetaminophen, not otherwise specified,10 mg 682 661 $78.12
73562 28 24 $60.06
76870 13 13 $52.84
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,356 1,650 $50.40
82043 16 15 $43.38
77089 80 80 $41.11
J1885 Injection, ketorolac tromethamine, per 15 mg 1,546 818 $37.07
93356 39 38 $35.95
J7050 Infusion, normal saline solution, 250 cc 114 90 $35.31
J0690 Injection, cefazolin sodium, 500 mg 571 518 $34.51
J2250 Injection, midazolam hydrochloride, per 1 mg 1,834 1,561 $31.27
82040 12 12 $30.95
87205 13 13 $29.70
84156 13 13 $27.54
93321 12 12 $23.72
J7999 Compounded drug, not otherwise classified 27 27 $22.77
73552 13 12 $20.19
77001 12 12 $14.92
94729 13 13 $13.86
83655 12 12 $11.99
76937 12 12 $11.17
83690 15 13 $8.61
J1596 Injection, glycopyrrolate, 0.1 mg 38 27 $4.32
36416 1,815 1,678 $3.32
J1170 Injection, hydromorphone, up to 4 mg 42 39 $2.38
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 188 152 $1.48
91311 45 39 $0.27
90691 92 90 $0.02
90674 100 98 $0.01
90656 415 407 $0.01
90717 25 25 $0.01
3074F 12,269 11,737 $0.00
91307 231 216 $0.00
G0378 Hospital observation service, per hour 458 390 $0.00
A9585 Injection, gadobutrol, 0.1 ml 148 90 $0.00
3079F 266 254 $0.00
90723 166 153 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30 30 $0.00
90680 37 37 $0.00
C9399 Unclassified drugs or biologicals 82 68 $0.00
J3490 Unclassified drugs 27 26 $0.00
90677 54 54 $0.00
91319 93 91 $0.00
G0008 Administration of influenza virus vaccine 26 26 $0.00
90651 38 37 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 16 14 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 14 14 $0.00
91318 27 26 $0.00
91315 14 13 $0.00
3078F 12,753 12,207 $0.00
90671 27 24 $0.00
90670 422 400 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 51 29 $0.00
90661 569 566 $0.00
90633 240 230 $0.00
3077F 85 77 $0.00
90648 377 358 $0.00
99080 47 38 $0.00
90685 193 191 $0.00
99411 34 33 $0.00
91312 53 49 $0.00
91320 76 76 $0.00
90715 27 26 $0.00
95718 12 12 $0.00
90713 27 26 $0.00