Medicaid Provider Spending

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

UPPER CONNECTICUT VALLEY HOSPITAL ASSOCIATION

NPI: 1861489437 · COLEBROOK, NH 03576 · Critical Access Hospital · NPI assigned 09/29/2005

$1.12M
Total Medicaid Paid
34,441
Total Claims
23,715
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFRIZZELL, PAMELA (CONTROLLER)
NPI Enumeration Date09/29/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,347 $113K
2019 6,427 $149K
2020 6,484 $174K
2021 7,820 $268K
2022 6,337 $279K
2023 1,299 $73K
2024 727 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,475 2,601 $382K
99283 Emergency department visit for the evaluation and management, moderate severity 3,700 2,611 $306K
99284 Emergency department visit for the evaluation and management, high severity 1,226 652 $120K
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 783 633 $57K
99281 Emergency department visit for the evaluation and management, self-limited or minor 736 589 $47K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,665 1,292 $34K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 657 150 $28K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 933 514 $20K
80053 Comprehensive metabolic panel 3,884 2,747 $17K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 257 160 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,420 2,892 $13K
71046 Radiologic examination, chest; 2 views 435 172 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 210 192 $9K
84443 Thyroid stimulating hormone (TSH) 1,017 868 $9K
80061 Lipid panel 815 727 $9K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 72 40 $6K
96375 Therapeutic injection; each additional sequential IV push 148 82 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 96 67 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 50 36 $5K
83036 Hemoglobin; glycosylated (A1C) 616 552 $5K
87631 36 32 $3K
83735 1,157 761 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 114 91 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 45 28 $2K
81001 1,122 810 $1K
36415 Collection of venous blood by venipuncture 5,192 3,584 $1K
84484 437 202 $908.79
71045 Radiologic examination, chest; single view 14 12 $833.96
87276 91 73 $812.13
87275 91 73 $631.64
J3490 Unclassified drugs 562 185 $619.76
84439 85 74 $547.97
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20 12 $345.05
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13 13 $255.51
J1885 Injection, ketorolac tromethamine, per 15 mg 60 41 $214.72
80048 Basic metabolic panel (calcium, ionized) 34 25 $129.35
82044 31 27 $118.80
J2405 Injection, ondansetron hydrochloride, per 1 mg 64 45 $112.86
83605 26 12 $81.92
83690 15 12 $56.24
86140 16 14 $44.49
85610 21 12 $19.83