Physician
Five-Town Health Alliance, INC
Five-Town Health Alliance, INC was paid $3.94M by Medicaid between Jan 2018 and Dec 2024, across 23 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.
33Billing provider infoFIVE-TOWN HEALTH ALLIANCE, INC
BRISTOL, VT 05443
BRISTOL, VT 05443
33aNPI1871840843assigned 08/09/2012
33bProvider typeFamily Medicine Physician
28Total paid$3.94M
24GClaims41,519
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Vermont
Rank by total paid#6 of 53
Median peer was paid$77K
This provider vs. median51×
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 | 6,226 | $590K | |
| 2019 | 7,362 | $667K | |
| 2020 | 6,634 | $626K | |
| 2021 | 7,274 | $605K | |
| 2022 | 5,125 | $471K | |
| 2023 | 5,355 | $522K | |
| 2024incomplete | 3,543 | $454K |
Box 24 · Service lines
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% | 22,155 | 16,353 | $3.88M |
| 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% | 12,435 | 8,904 | $30K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 133 | 47 | $10K |
| D1110 | Prophylaxis - adult | <1% | 163 | 127 | $6K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 255 | 207 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 74 | 63 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 130 | 98 | $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% | 4,136 | 3,368 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 175 | 168 | $927.04 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 65 | 53 | $918.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 39 | 38 | $454.74 |
| 0124A | <1% | 21 | 21 | $384.00 |
11 more codes
| 90480 | <1% | 43 | $320.00 | |
| 80305 | <1% | 724 | $77.32 | |
| 90686 | <1% | 430 | $73.84 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 62 | $4.08 |
| D1330 | <1% | 251 | $0.03 | |
| 91312 | 0% | 20 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 15 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 33 | $0.00 |
| 91320 | 0% | 43 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 104 | $0.00 |
| 36416 | 0% | 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.
From NPPES
Who's on the registration
Authorized officialMELBOSTAD, HEIDI (CEO)
Parent organizationFIVE-TOWN HEALTH ALLIANCE, INC
| Provider | Location | Paid |
|---|---|---|
| Five-Town Health Alliance, INC | Bristol, VT | $229K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.