Medicaid Provider Spending

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

ANDROSCOGGIN VALLEY HOSPITAL INC

NPI: 1679526644 · BERLIN, NH 03570 · Pediatric Radiology Physician · NPI assigned 05/18/2006

$333K
Total Medicaid Paid
20,273
Total Claims
15,007
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPETERSON, MICHAEL (CEO)
Parent OrganizationANDROSCOGGIN VALLEY HOSPITAL INC
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: PETERSON, MICHAEL

ProviderCityStateTotal Paid
EASTERN UTAH EARLY INTERVENTION, INC. VERNAL UT $1.68M
SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC SPRINGVILLE UT $370K
REGENTS OF UNIVERSITY OF CALIFORNIA FRESNO CA $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,763 6,161 $240K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,674 2,104 $40K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,240 4,827 $21K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,014 826 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 190 163 $6K
95117 438 189 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 95 85 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 271 213 $4K
92557 112 107 $3K
99238 Hospital discharge day management, 30 minutes or less 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 Radiologic examination, chest; 2 views 15 15 $105.01
99205 Prolong outpt/office vis 15 13 $0.00