Physician
Northeastern Vermont Regional Hospital INC
Northeastern Vermont Regional Hospital INC was paid $701K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoNORTHEASTERN VERMONT REGIONAL HOSPITAL INC
ST JOHNSBURY, VT 05819
ST JOHNSBURY, VT 05819
33aNPI1871870899assigned 11/04/2011
33bProvider typeInternal Medicine Physician
28Total paid$701K
24GClaims19,802
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Vermont
Rank by total paid#1 of 25
Median peer was paid$10K
This provider vs. median74×
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.
Entity ProliferationAuthorized official HERSEY, ROBERT controls 13+ related entities in our dataset. Read more
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 | 2,869 | $307K | |
| 2019 | 2,897 | $111K | |
| 2020 | 2,096 | $62K | |
| 2021 | 2,857 | $73K | |
| 2022 | 3,406 | $56K | |
| 2023 | 3,132 | $48K | |
| 2024incomplete | 2,545 | $45K |
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 | 84% | 9,522 | 7,219 | $589K |
| 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 | 9.2% | 5,067 | 4,080 | $64K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 4,282 | 3,369 | $40K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 324 | 243 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 116 | 37 | $1K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 71 | 51 | $793.72 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 13 | 13 | $573.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 102 | 87 | $486.47 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 32 | 26 | $372.21 |
| 96160 | <1% | 170 | 134 | $106.08 | |
| 96127 | <1% | 14 | 12 | $46.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 63 | 59 | $31.89 |
1 more codes
| 90756 | 0% | 26 | $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 officialHERSEY, ROBERT (CFO)
| Provider | Location | Paid |
|---|---|---|
| Northeastern Vermont Regional Hospital, INC | St Johnsbury, VT | $2.72M |
| Northeastern Vermont Regional Hospital, INC | St Johnsbury, VT | $1.32M |
| Northeastern Vermont Regional Hospital INC. | Lyndonville, VT | $831K |
| 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.