Hospital
Gifford Medical Center INC
Gifford Medical Center INC was paid $15K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 42% of everything it billed.
33Billing provider infoGIFFORD MEDICAL CENTER INC
RANDOLPH, VT 05060
RANDOLPH, VT 05060
33aNPI1730199647assigned 08/09/2006
33bProvider typeCritical Access Hospital
28Total paid$15K
24GClaims1,052
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Critical Access Hospital providers in Vermont
Rank by total paid#8 of 11
Median peer was paid$40K
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 397 | $2K | |
| 2019 | 263 | $7K | |
| 2020 | 42 | $591.41 | |
| 2021 | 106 | $2K | |
| 2022 | 26 | $267.30 | |
| 2023 | 106 | $2K | |
| 2024incomplete | 112 | $645.55 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 42% | 93 | 52 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 275 | 115 | $4K |
| 11721 | 25% | 401 | 185 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 24 | 13 | $463.05 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.2% | 138 | 120 | $326.60 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.1% | 14 | 14 | $169.35 |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 0% | 25 | 13 | $0.00 |
| 81003 | 0% | 68 | 53 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 14 | 12 | $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 officialCOSTA, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gifford Health Care, INC | Randolph, VT | $8.43M |
| Gifford Health Care, INC | Barre, VT | $2.05M |
| Northern Counties Health Care, INC. | St Johnsbury, VT | $1.85M |
| Gifford Health Care, INC | Bethel, VT | $1.83M |
| Gifford Health Care, INC. | Randolph, VT | $934K |
| Gifford Health Care, INC | Chelsea, VT | $819K |
| Gifford Health Care, INC | Rochester, VT | $345K |
| Gifford Health Care, INC | Randolph, VT | $258K |
| Gifford Medical Center INC. | Randolph, VT | $218K |
| Gifford Health Care, INC | White River Junction, VT | $111K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.