Vermont Medicaid Spending
Vermont's Medicaid program paid $1.20B across 7 providers from 2018–2024. 10 providers in Vermont are flagged on our risk watchlist. The top procedure code is 99199 (Unlisted special service, procedure, or report) at $742.2M.
Total Spending
$1.20B
Total Claims
3.5M
Top Providers
7
Beneficiaries
494K
Flagged Providers
10
on risk watchlist
Avg Per Provider
$171.4M
across 7 providers
Yearly Spending Trend
Top Providers in Vermont
Howard Center INC
Day Training Developmentally Disabled Services · Burlington
$332.2M
898K claims
Northeast Kingdom Human Services INC Ds Waiver
Clinic/Center Developmental Disabilities · Newport
$204.8M
673K claims
Washington County Mental Health Services Inc.
Clinic/Center Developmental Disabilities · Barre
$145.0M
418K claims
Health Care & Rehabilitation Services
Clinic/Center Developmental Disabilities · Bellows Falls
$136.1M
466K claims
Howard Center INC
Clinic/Center, Adolescent and Children Mental Heal · Burlington
$130.1M
280K claims
Northwestern Counseling & Support Services
Community/Behavioral Health · Saint Albans
$129.7M
587K claims
Rutland Mental Health Services
Clinic/Center Developmental Disabilities · Rutland
$122.1M
194K claims
Flagged Providers in Vermont
Howard Center INC
$332.2M
2 flags
Northeast Kingdom Human Services INC Ds Waiver
$204.8M
2 flags
Vermont Department of Mental Health
$105.1M
1 flag
Washington County Mental Health Services Inc.
$101.7M
1 flag
Health Care & Rehabilitation Services
$97.6M
1 flag
Northwestern Counseling & Support Services
$90.9M
1 flag
Rutland Mental Health Services
$83.1M
1 flag
Green Mountain Support Services Inc.
$25.9M
1 flag
Aspire Living & Learning, Inc.
$21.2M
1 flag
Transition II
$17.3M
1 flag
Spending by Top Procedures
Top Procedures in Vermont
| Code | Total Paid |
|---|---|
| 99199 Unlisted special service, procedure, or report | $742.2M |
| H2022 Community-based wrap-around services, per diem | $326.6M |
| H0023 Behavioral health outreach service, per 15 minutes | $39.4M |
| H2015 Comprehensive community support services, per 15 min | $34.9M |
| H2020 Day habilitation, waiver, per 15 minutes | $28.8M |
| H2017 Psychosocial rehabilitation services, per 15 min | $19.9M |
| H0046 Mental health services, not otherwise specified | $3.2M |
| H0019 Behavioral health; residential, per diem | $2.6M |
| H2014 Skills training & development, per 15 min | $1.3M |
| 90837 Psychotherapy, 60 minutes | $435K |
| 90834 Psychotherapy, 45 minutes | $282K |
| H2000 Comprehensive multidisciplinary evaluation | $220K |
| 90832 Psychotherapy, 30 minutes | $15K |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $5K |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $2K |