LAKESIDE MED, LLC

NPI: 1073142147 · FREDERICK, MD 21701 · Family Medicine Physician · NPI assigned 04/02/2020

$3K

Total Medicaid Paid

132

Total Claims

Beneficiaries

Codes Billed

2022-06

First Month

2024-02

Last Month

Provider Details

Authorized Official	BROWN, DOUGLAS (PRIMARY MEMBER)
NPI Enumeration Date	04/02/2020

Other providers sharing the same authorized official: BROWN, DOUGLAS

Provider	City	State	Total Paid
DIGNITY COMMUNITY CARE	NORTHRIDGE	CA	$58.90M
BILINGUAL PEDIATRIC THERAPIES	OKLAHOMA CITY	OK	$9.94M
HOPE FOR TULSA	TULSA	OK	$8.27M
MINI MIRACLES PEDIATRIC THERAPY, PLLC	JOHNSON CITY	TN	$7.18M
ADDICTION RECOVERY CENTER OF VIRGINIA	WILLIAMSBURG	VA	$6.05M
PORTABLE MEDICAL DIAGNOSTICS LLC	JACKSON	MS	$1.44M
DOUGLAS C. BROWN, MD, A MEDICAL CORPORATION	MONROE	LA	$816K
PORTABLE MEDICAL DIAGNOSTICS LLC	IRVINGTON	AL	$5K

Year	Claims	Total Paid
2022	81	$1K
2024	51	$2K

Code	Description	Claims	Beneficiaries	Total Paid
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	36	29	$2K
99350	Prolong home eval add 15m	96	50	$1K