Medicaid Provider Spending

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

NORTHEASTERN VERMONT REGIONAL HOSPITAL INC

NPI: 1871870899 · ST JOHNSBURY, VT 05819 · Internal Medicine Physician · NPI assigned 11/04/2011

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

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

$701K
Total Medicaid Paid
19,802
Total Claims
15,354
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERSEY, ROBERT (CFO)
NPI Enumeration Date11/04/2011

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,545 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,522 7,219 $589K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,067 4,080 $64K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,282 3,369 $40K
99215 Prolong outpt/office vis 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 116 37 $1K
90837 Psychotherapy, 53 minutes with patient 71 51 $793.72
90834 Psychotherapy, 45 minutes with patient 13 13 $573.50
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 102 87 $486.47
90832 Psychotherapy, 30 minutes with patient 32 26 $372.21
96160 170 134 $106.08
96127 14 12 $46.08
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 63 59 $31.89
90756 26 24 $0.00