Lakeside Pediatric & Adolescent Medicine, PLLC

Lakeside Pediatric & Adolescent Medicine, PLLC was paid $4.58M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

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	15,972	$742K
2019	18,657	$872K
2020	12,604	$620K
2021	13,665	$701K
2022	13,301	$723K
2023	8,624	$524K
2024incomplete	6,248	$398K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	30,437	29,157	$1.87M
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	15%	7,640	7,368	$685K
90460	Immunization administration through 18 years of age via any route, first or only component	12%	13,809	13,753	$572K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	11%	5,438	5,426	$488K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.3%	4,160	4,129	$334K
90461		5.4%	6,389	6,367	$247K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.1%	2,133	2,129	$189K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.2%	1,420	1,411	$57K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	1.1%	431	427	$48K
87400		<1%	2,201	1,100	$27K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,064	1,045	$14K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	127	127	$12K

26 more codes

36416		<1%	2,235	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	365	$6K
94760		<1%	2,966	$6K
96127		<1%	1,139	$4K
99381		<1%	25	$3K
87807		<1%	198	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	63	$2K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	61	$2K
99173		<1%	47	$656.21
83655		<1%	51	$637.77
92015	Determination of refractive state	<1%	24	$427.19
90686		<1%	3,297	$205.53
85018		<1%	64	$153.83
81002		<1%	12	$37.56
99177		<1%	16	$36.82
90670		<1%	1,603	$14.97
90723		<1%	419	$10.32
90633		<1%	87	$5.92
90647		<1%	386	$3.85
90672		<1%	186	$0.16
90680		<1%	384	$0.01
90671		0%	76	$0.00
90697		0%	76	$0.00
90660		0%	18	$0.00
90656		0%	12	$0.00
90651		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.

From NPPES

Who's on the registration

Authorized officialVANHOOK, DIANA (OFFICE MANAGER)