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LAKESHORE INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES
LAKESHORE INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES
NPI: 1003924739
· HOLLAND, MI 49424
· Multi-Specialty Clinic/Center
· NPI assigned 08/25/2006
$228K
Total Medicaid Paid
Provider Details
| Authorized Official | MARTIN, BARBARA (BILLING) |
| NPI Enumeration Date | 08/25/2006 |
Related Entities
Other providers sharing the same authorized official: MARTIN, BARBARA
| Provider | City | State | Total Paid |
|---|
| JIM NASIM |
GREENWOOD |
SC |
$644.40 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
742 |
$31K |
| 2019 |
627 |
$26K |
| 2020 |
563 |
$18K |
| 2021 |
1,080 |
$31K |
| 2022 |
1,060 |
$45K |
| 2023 |
580 |
$46K |
| 2024 |
481 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,176 |
2,020 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,132 |
1,055 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$3K |
| 96127 |
|
734 |
683 |
$2K |
| 90686 |
|
13 |
13 |
$216.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$157.85 |
| 3078F |
|
29 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
950 |
883 |
$0.00 |
| 3074F |
|
44 |
42 |
$0.00 |