Springfield Medical Care Systems INC
Springfield Medical Care Systems INC was paid $7.75M by Medicaid between Jan 2018 and Dec 2024, across 44 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.
BELLOWS FALLS, VT 05101
Next to other Federally Qualified Health Center (FQHC) providers in Vermont
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 11,060 | $681K |
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% | 47,114 | 38,436 | $7.61M |
| 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 | 1.5% | 4,823 | 4,100 | $116K |
| 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% | 17,203 | 15,558 | $9K |
| 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% | 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 | <1% | 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 | <1% | 130 | 63 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 57 | 56 | $735.09 |
| 36415 | Collection of venous blood by venipuncture | <1% | 73 | 73 | $673.74 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 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 | <1% | 67 | 60 | $349.70 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,642 | 1,740 | $335.15 |
| 92551 | <1% | 1,482 | 1,419 | $319.28 |
32 more codes
| 3074F | <1% | 1,606 | $267.42 | |
| 3078F | <1% | 1,252 | $187.42 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 149 | $158.75 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,812 | $31.95 |
| 96127 | <1% | 592 | $24.20 | |
| 3075F | <1% | 29 | $10.00 | |
| 96160 | <1% | 105 | $8.67 | |
| 90461 | 0% | 581 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 526 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 1,906 | $0.00 |
| 99173 | 0% | 1,354 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 628 | $0.00 |
| 90670 | 0% | 112 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 55 | $0.00 |
| 3077F | 0% | 14 | $0.00 | |
| 2014F | 0% | 321 | $0.00 | |
| 90648 | 0% | 136 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 355 | $0.00 |
| 90633 | 0% | 44 | $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 | 0% | 98 | $0.00 |
| 36416 | 0% | 41 | $0.00 | |
| 90656 | 0% | 43 | $0.00 | |
| 3008F | 0% | 1,231 | $0.00 | |
| 99000 | 0% | 338 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 98 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 90723 | 0% | 31 | $0.00 | |
| 3079F | 0% | 144 | $0.00 | |
| 87428 | 0% | 19 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 76 | $0.00 |
| 90686 | 0% | 45 | $0.00 | |
| 3080F | 0% | 12 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.