Medicaid Provider Spending

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

NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC

NPI: 1831132299 · ST JOHNSBURY, VT 05819 · Obstetrics & Gynecology Physician · NPI assigned 06/14/2006

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

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

$1.32M
Total Medicaid Paid
18,425
Total Claims
14,879
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERSEY, ROBERT (CFO)
NPI Enumeration Date06/14/2006

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. LYNDONVILLE VT $831K
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 2,778 $577K
2019 2,598 $297K
2020 2,451 $67K
2021 3,014 $158K
2022 3,459 $111K
2023 2,439 $62K
2024 1,686 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 11,821 9,361 $1.30M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,618 2,886 $11K
81025 2,127 1,875 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 268 219 $814.01
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 517 474 $785.10
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28 27 $159.96
81002 33 24 $20.46
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $0.00