Hospital
Porter Hospital INC
Porter Hospital INC was paid $143K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoPORTER HOSPITAL INC
MIDDLEBURY, VT 05753
MIDDLEBURY, VT 05753
33aNPI1740291400assigned 08/10/2006
33bProvider typeCritical Access Hospital
28Total paid$143K
24GClaims9,954
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Critical Access Hospital providers in Vermont
Rank by total paid#2 of 11
Median peer was paid$40K
This provider vs. median3.5×
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 | 5,558 | $66K | |
| 2019 | 2,604 | $49K | |
| 2020 | 517 | $12K | |
| 2021 | 639 | $11K | |
| 2022 | 260 | $2K | |
| 2023 | 182 | $2K | |
| 2024incomplete | 194 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 77% | 8,460 | 3,181 | $109K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 336 | 153 | $23K |
| 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 | 2.3% | 177 | 110 | $3K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.7% | 171 | 105 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 323 | 167 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 286 | 247 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 66 | 51 | $715.99 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 32 | 12 | $598.42 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 34 | 14 | $324.12 |
| 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 | <1% | 16 | 14 | $136.43 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 18 | 15 | $21.84 |
| 94761 | 0% | 35 | 24 | $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 officialCOMEAU, SCOTT (CFO)
| Provider | Location | Paid |
|---|---|---|
| Elizabethtown Community Hospital | Elizabethtown, NY | $150K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.