Medicaid Provider Spending

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

NORTHEASTERN VERMONT REGIONAL HOSPITAL INC.

NPI: 1659459428 · LYNDONVILLE, VT 05851 · Rural Health Clinic/Center · NPI assigned 11/01/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HERSEY, ROBERT controls 13+ related entities in our dataset. Read more

$831K
Total Medicaid Paid
32,343
Total Claims
26,043
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERSEY, ROBERT (CFO)
NPI Enumeration Date11/01/2006

Related Entities

Other providers sharing the same authorized official: HERSEY, ROBERT

ProviderCityStateTotal Paid
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $2.72M
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $1.32M
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT $701K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC. ST JOHNSBURY VT $448K
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT $122K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $73K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $40K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $40K
NORTHEASTERN VERMONT REGIONAL HOSPITAL ST JOHNSBURY VT $19K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST. JOHNSBURY VT $9K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $7K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $3K
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC ST JOHNSBURY VT $745.16

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,362 $297K
2019 3,384 $105K
2020 2,452 $62K
2021 3,653 $96K
2022 5,486 $95K
2023 7,178 $107K
2024 5,828 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 16,932 13,346 $682K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,714 7,944 $72K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,940 2,519 $45K
87428 570 521 $16K
99308 Subsequent nursing facility care, per day, straightforward 424 295 $9K
90834 Psychotherapy, 45 minutes with patient 35 27 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 475 408 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 941 739 $1K
90832 Psychotherapy, 30 minutes with patient 79 53 $566.28
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 12 $423.96
99309 Subsequent nursing facility care, per day, low to moderate complexity 18 18 $422.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19 13 $161.22
96160 131 104 $86.17
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 35 32 $0.00
90756 17 12 $0.00