ANDROSCOGGIN VALLEY HOSPITAL INC
NPI: 1679526644
· BERLIN, NH 03570
· 2085P0229X
$333K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,687 |
$34K |
| 2019 |
4,857 |
$75K |
| 2020 |
2,761 |
$50K |
| 2021 |
2,390 |
$39K |
| 2022 |
3,320 |
$60K |
| 2023 |
2,120 |
$49K |
| 2024 |
1,138 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,763 |
6,161 |
$240K |
| 99213 |
|
2,674 |
2,104 |
$40K |
| G0463 |
Hospital outpt clinic visit |
7,240 |
4,827 |
$21K |
| 93010 |
|
1,014 |
826 |
$6K |
| 99203 |
|
190 |
163 |
$6K |
| 95117 |
|
438 |
189 |
$4K |
| 99204 |
|
95 |
85 |
$4K |
| 99212 |
|
271 |
213 |
$4K |
| 92557 |
|
112 |
107 |
$3K |
| 99238 |
|
78 |
58 |
$2K |
| 99442 |
|
208 |
112 |
$768.63 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$649.70 |
| 92567 |
|
53 |
51 |
$313.56 |
| 69210 |
|
32 |
24 |
$292.13 |
| 92592 |
|
25 |
25 |
$258.00 |
| 99443 |
|
38 |
22 |
$127.88 |
| 71046 |
|
15 |
15 |
$105.01 |
| 99205 |
Prolong outpt/office vis |
15 |
13 |
$0.00 |