Clinic
Springfield Medical Care Systems INC
Springfield Medical Care Systems INC was paid $13.28M by Medicaid between Jan 2018 and Dec 2024, across 52 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.
33Billing provider infoSPRINGFIELD MEDICAL CARE SYSTEMS INC
SPRINGFIELD, VT 05156
SPRINGFIELD, VT 05156
33aNPI1992073191assigned 12/02/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$13.28M
24GClaims186,058
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Vermont
Rank by total paid#3 of 33
Median peer was paid$1.23M
This provider vs. median11×
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 MAJKA, ANDREW controls 16+ 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 | 26,618 | $1.80M | |
| 2019 | 25,087 | $1.86M | |
| 2020 | 18,086 | $1.39M | |
| 2021 | 24,661 | $1.89M | |
| 2022 | 22,973 | $1.84M | |
| 2023 | 30,919 | $2.28M | |
| 2024incomplete | 37,714 | $2.23M |
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 | 98% | 77,922 | 62,879 | $13.06M |
| 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 | 1.3% | 7,582 | 5,948 | $167K |
| 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% | 627 | 287 | $14K |
| 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% | 27,573 | 24,869 | $14K |
| 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% | 17,769 | 15,962 | $11K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 12,647 | 6,481 | $4K |
| 99310 | Prolong nursin fac eval 15m | <1% | 91 | 62 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 168 | 116 | $1K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 538 | 462 | $835.14 |
| 3074F | <1% | 6,539 | 5,878 | $494.12 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 54 | 50 | $469.70 |
| 3078F | <1% | 6,082 | 5,475 | $414.12 |
40 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,242 | $356.50 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 839 | $125.00 |
| 96127 | <1% | 2,013 | $102.20 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 302 | $81.08 |
| 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% | 17 | $79.35 |
| 36416 | <1% | 89 | $71.66 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,858 | $18.98 |
| 92551 | <1% | 130 | $15.96 | |
| 3079F | <1% | 142 | $10.00 | |
| 96160 | <1% | 400 | $8.94 | |
| 99173 | 0% | 2,308 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,574 | $0.00 |
| 90670 | 0% | 102 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,136 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 509 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 29 | $0.00 |
| 2014F | 0% | 1,306 | $0.00 | |
| 90838 | 0% | 33 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 1,278 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 454 | $0.00 |
| 90461 | 0% | 1,443 | $0.00 | |
| 3077F | 0% | 39 | $0.00 | |
| 99307 | 0% | 266 | $0.00 | |
| 90633 | 0% | 49 | $0.00 | |
| 90671 | 0% | 26 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 29 | $0.00 |
| 90661 | 0% | 24 | $0.00 | |
| 3008F | 0% | 7,149 | $0.00 | |
| 90698 | 0% | 24 | $0.00 | |
| 90677 | 0% | 13 | $0.00 | |
| 90686 | 0% | 284 | $0.00 | |
| 90656 | 0% | 77 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 57 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 13 | $0.00 |
| 87428 | 0% | 57 | $0.00 | |
| 99000 | 0% | 77 | $0.00 | |
| 3080F | 0% | 39 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 12 | $0.00 |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 13 | $0.00 |
| 90619 | 0% | 14 | $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 officialMAJKA, ANDREW (CFO)
| Provider | Location | Paid |
|---|---|---|
| Springfield Medical Care Systems INC | Bellows Falls, VT | $7.75M |
| 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.