Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LAKEMONT PEDIATRICS

NPI: 1053793190 · WINTER PARK, FL 32792 · Pediatrics Physician · NPI assigned 06/25/2015

$409K
Total Medicaid Paid
17,591
Total Claims
15,412
Beneficiaries
32
Codes Billed
2019-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialPHAM, VIVIEN (MANAGER/PHYSICIAN)
NPI Enumeration Date06/25/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 6,171 $170K
2020 6,029 $151K
2021 5,391 $88K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,491 2,909 $124K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,552 1,363 $73K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 722 649 $57K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 769 696 $51K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 583 510 $47K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 395 348 $25K
97802 1,599 1,429 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 2,433 2,238 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,057 993 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 585 353 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 24 24 $80.24
99173 803 668 $40.25
90686 551 551 $35.94
90633 62 55 $32.03
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 474 420 $26.29
90670 303 269 $10.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 127 87 $0.00
90651 145 134 $0.00
90744 38 38 $0.00
G9969 Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred 29 17 $0.00
90680 57 57 $0.00
90716 57 41 $0.00
90700 190 181 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 218 205 $0.00
G9968 Patient was referred to another clinician or specialist during the measurement period 840 725 $0.00
90707 107 76 $0.00
90648 92 91 $0.00
90715 24 24 $0.00
90713 28 28 $0.00
G0444 Annual depression screening, 5 to 15 minutes 177 177 $0.00
90734 29 29 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 30 27 $0.00