Hospital
Gifford Medical Center INC.
Gifford Medical Center INC. was paid $218K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99283, emergency room visit (moderate) — 32% of everything it billed.
33Billing provider infoGIFFORD MEDICAL CENTER INC.
RANDOLPH, VT 05060
RANDOLPH, VT 05060
33aNPI1942329446assigned 03/28/2007
33bProvider typeGeneral Acute Care Hospital
28Total paid$218K
24GClaims17,324
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Vermont
Rank by total paid#5 of 9
Median peer was paid$218K
This provider vs. median1.0×
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 | 2,180 | $75K | |
| 2019 | 2,616 | $34K | |
| 2020 | 2,251 | $20K | |
| 2021 | 2,321 | $30K | |
| 2022 | 2,866 | $25K | |
| 2023 | 3,094 | $21K | |
| 2024incomplete | 1,996 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 32% | 4,374 | 4,110 | $69K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 2,267 | 2,108 | $65K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 961 | 801 | $22K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 6.4% | 705 | 668 | $14K |
| 71046 | Radiologic examination, chest; 2 views | 5.7% | 3,957 | 3,678 | $12K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.8% | 587 | 567 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 223 | 216 | $4K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.5% | 392 | 366 | $3K |
| 98942 | 1.5% | 325 | 254 | $3K | |
| 73630 | <1% | 783 | 725 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 328 | 320 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 37 | 37 | $2K |
24 more codes
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 110 | $2K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 328 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 758 | $1K |
| 99221 | <1% | 58 | $915.12 | |
| 99285 | Emergency room visit (most serious) | <1% | 27 | $856.62 |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 40 | $659.93 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 113 | $572.53 |
| 76830 | Ultrasound, transvaginal | <1% | 25 | $437.92 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $327.72 |
| 73610 | <1% | 153 | $220.27 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 13 | $209.05 |
| 72100 | <1% | 46 | $169.74 | |
| 76801 | <1% | 12 | $124.89 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 90 | $124.18 |
| 81003 | <1% | 53 | $109.12 | |
| 73030 | <1% | 42 | $99.56 | |
| 73564 | <1% | 13 | $75.14 | |
| 51798 | <1% | 28 | $68.82 | |
| 71045 | Radiologic examination, chest; single view | <1% | 56 | $67.56 |
| 93227 | <1% | 13 | $29.66 | |
| 73140 | <1% | 12 | $18.37 | |
| 97032 | 0% | 325 | $0.00 | |
| 3341F | 0% | 38 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 19 | $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 officialCOSTA, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gifford Health Care, INC | Randolph, VT | $8.43M |
| Gifford Health Care, INC | Barre, VT | $2.05M |
| Northern Counties Health Care, INC. | St Johnsbury, VT | $1.85M |
| Gifford Health Care, INC | Bethel, VT | $1.83M |
| Gifford Health Care, INC. | Randolph, VT | $934K |
| Gifford Health Care, INC | Chelsea, VT | $819K |
| Gifford Health Care, INC | Rochester, VT | $345K |
| Gifford Health Care, INC | Randolph, VT | $258K |
| Gifford Health Care, INC | White River Junction, VT | $111K |
| Gifford Medical Center INC | Randolph, VT | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.