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    OpenPayerNPI Medicare & MedicaidNorth Country Hospital & Health Center Inc
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    North Country Hospital & Health Center Inc — Billing Profile & Reimbursement Data

    NPI 1144251059 · Newport, VT · Critical Access Hospital

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    North Country Hospital & Health Center Inc is a critical access hospital provider located in Newport, Vermont. This profile covers 0 Medicare and 43 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorth Country Hospital & Health Center Inc
    Address189 Prouty Dr
    CityNewport
    StateVT
    ZIP05855
    TaxonomyCritical Access Hospital
    NPI EnumeratedJuly 6, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.31,670$20$696.8K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.12,360$40$506.9K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.1,130$60$67.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.2,980$20$62.7K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.3,590$10$43K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.790$30$21.4K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…80$190$14.7K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…2,780$1$8.3K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.610$10$7.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.7,290$1$7.3K

    Showing 1–10 of 43

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Vermont median

    43 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.630830$40$232.2K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.1301,150$30$147K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.830190$50$104.3K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.720710$40$85K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…710240$60$81.2K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…310110$80$41.8K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.710580$20$37.9K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…810870$20$25.7K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.120520$20$22K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…820630$10$21.6K

    Showing 1–10 of 43

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with North Country Hospital & Health Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Country Hospital & Health Center IncVTInternal Medicine Physician$0$3.2M
    Jonathan BreslauMNDiagnostic Radiology Physician$1.3M$0
    North Country Hospital & Health Center IncVTRural Health Clinic/Center$0$1M
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K
    North Country Hospital & Health Center IncVTObstetrics & Gynecology Physician$0$504K
    Nzeadibenma UzochukwuILDiagnostic Radiology Physician$84K$360.8K
    Jill WrubleMNDiagnostic Radiology Physician$387K$0
    Alice DrownVTMental Health Counselor$0$350K
    Richard WilsonMNDiagnostic Radiology Physician$304.5K$0
    Syed AnwarulislamNJDiagnostic Radiology Physician$299.6K$0

    Nearby Providers

    Other providers in the same ZIP code as North Country Hospital & Health Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Kingdom Human Services Inc Ds WaiverVTDevelopmental Disabilities Clinic/Center$0$204.7M
    Baart Behavioral Health Services, Inc.VTSubstance Use Disorder Rehabilitation Clinic/Center$85.8K$17.6M
    Northeast Kingdom Human Services Inc SbsVTAdolescent and Children Mental Health Clinic/Center$0$8.3M
    Autism Advocacy And Intervention, LLCVTBehavior Analyst$0$7.8M
    Newport Ambulance Service Inc.VTLand Ambulance$743.2K$2.9M
    North East Kingdom Community Action, Inc.VTPublic Health or Welfare Agency$0$2.8M
    Northeast Kingdom Human Services Inc Mh ChildrenVTAdolescent and Children Mental Health Clinic/Center$0$2.7M
    North Country Hospital & Health Center IncVTPediatrics Physician$0$2.2M
    James V. Wyllie, Dds P.C.VTGeneral Practice Dentistry$0$1.8M
    Keene Medical Products, LLCVTDurable Medical Equipment & Medical Supplies$0$1.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Vermont Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Vermont Distribution
    North Country Hospital & Health Center Inc — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont