Medicaid Provider Spending

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

SPRINGFIELD MEDICAL CARE SYSTEMS INC

NPI: 1992030365 · BELLOWS FALLS, VT 05101 · Federally Qualified Health Center (FQHC) · NPI assigned 10/02/2009

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

Authorized official MAJKA, ANDREW controls 16+ related entities in our dataset. Read more

$7.75M
Total Medicaid Paid
105,566
Total Claims
90,362
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAJKA, ANDREW (CFO)
NPI Enumeration Date10/02/2009

Related Entities

Other providers sharing the same authorized official: MAJKA, ANDREW

ProviderCityStateTotal Paid
SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT $13.28M
SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT $3.56M
LITTLETON HOSPITAL ASSOCIATION LITTLETON NH $3.35M
SPRINGFIELD MEDICAL CARE SYSTEMS INC CHARLESTOWN NH $3.06M
SPRINGFIELD MEDICAL CARE SYSTEMS INC LONDONDERRY VT $1.85M
SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT $1.78M
SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT $687K
SPRINGFIELD MEDICAL CARE SYSTEMS INC. SPRINGFIELD VT $366K
SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT $205K
SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT $143K
SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT $136K
SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT $99K
SPRINGFIELD HOSPITAL INC SPRINGFIELD VT $73K
LITTLETON HOSPITAL ASSOCIATION LITTLETON NH $56K
SPRINGFIELD MEDICAL CARE SYSTEMS INC CHESTER VT $55K
SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,516 $1.45M
2019 18,067 $1.38M
2020 14,969 $1.08M
2021 17,153 $1.21M
2022 13,536 $1.05M
2023 11,265 $894K
2024 11,060 $681K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 47,114 38,436 $7.61M
G0467 Federally 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 4,823 4,100 $116K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,203 15,558 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,592 13,998 $6K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 332 196 $4K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 130 63 $3K
99215 Prolong outpt/office vis 57 56 $735.09
36415 Collection of venous blood by venipuncture 73 73 $673.74
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,286 2,065 $627.28
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 67 60 $349.70
90832 Psychotherapy, 30 minutes with patient 2,642 1,740 $335.15
92551 1,482 1,419 $319.28
3074F 1,606 1,501 $267.42
3078F 1,252 1,179 $187.42
99232 Subsequent hospital care, per day, moderate complexity 149 63 $158.75
90460 Immunization administration through 18 years of age via any route, first or only component 1,812 1,677 $31.95
96127 592 496 $24.20
3075F 29 27 $10.00
96160 105 92 $8.67
90461 581 522 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 526 502 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,906 1,674 $0.00
99173 1,354 1,296 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 628 610 $0.00
90670 112 78 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 55 53 $0.00
3077F 14 13 $0.00
2014F 321 302 $0.00
90648 136 121 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 355 307 $0.00
90633 44 43 $0.00
G9458 Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user 98 88 $0.00
36416 41 39 $0.00
90656 43 43 $0.00
3008F 1,231 1,145 $0.00
99000 338 327 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 98 88 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $0.00
90723 31 25 $0.00
3079F 144 134 $0.00
87428 19 19 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 76 69 $0.00
90686 45 41 $0.00
3080F 12 12 $0.00