Northeastern Vermont Regional Hospital, INC
Northeastern Vermont Regional Hospital, INC was paid $1.32M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
ST JOHNSBURY, VT 05819
Next to other Obstetrics & Gynecology Physician providers in Vermont
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 1,686 | $54K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 11,821 | 9,361 | $1.30M |
| 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% | 3,618 | 2,886 | $11K |
| 81025 | <1% | 2,127 | 1,875 | $10K | |
| 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 | <1% | 268 | 219 | $814.01 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 517 | 474 | $785.10 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | 27 | $159.96 |
| 81002 | <1% | 33 | 24 | $20.46 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | 13 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.