Physician
Green Mountain Pediatrics PC
Green Mountain Pediatrics PC was paid $287K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoGREEN MOUNTAIN PEDIATRICS PC
BENNINGTON, VT 05201
BENNINGTON, VT 05201
33aNPI1073617783assigned 09/12/2006
33bProvider typePediatrics Physician
28Total paid$287K
24GClaims20,277
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Vermont
Rank by total paid#11 of 27
Median peer was paid$62K
This provider vs. median4.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 2,694 | $86K | |
| 2019 | 2,726 | $79K | |
| 2020 | 3,351 | $73K | |
| 2021 | 3,843 | $21K | |
| 2022 | 3,328 | $18K | |
| 2023 | 2,645 | $8K | |
| 2024incomplete | 1,690 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 23% | 1,454 | 1,320 | $67K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,560 | 1,424 | $53K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 12% | 1,014 | 986 | $34K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 1,625 | 1,512 | $33K |
| G9001 | Coordinated care fee, initial rate | 9.4% | 1,531 | 1,498 | $27K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 218 | 212 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 259 | 256 | $15K |
| 90461 | 2.7% | 273 | 253 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 638 | 608 | $6K |
| 96161 | 1.4% | 4,955 | 2,338 | $4K | |
| 90480 | 1.3% | 93 | 93 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 343 | 239 | $2K |
33 more codes
| 96127 | <1% | 1,749 | $2K | |
| 92551 | <1% | 433 | $2K | |
| 0072A | <1% | 40 | $2K | |
| 0071A | <1% | 39 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 228 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 41 | $1K |
| 99177 | <1% | 195 | $1K | |
| 0124A | <1% | 18 | $720.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $684.90 |
| 92583 | <1% | 14 | $487.08 | |
| 0004A | <1% | 12 | $480.00 | |
| 99188 | <1% | 39 | $464.16 | |
| 99173 | <1% | 368 | $147.43 | |
| 90688 | <1% | 146 | $121.10 | |
| 0154A | <1% | 19 | $120.00 | |
| 0073A | <1% | 22 | $120.00 | |
| 85013 | <1% | 42 | $101.11 | |
| 96160 | <1% | 371 | $47.83 | |
| 91307 | <1% | 126 | $1.17 | |
| 91308 | <1% | 19 | $0.18 | |
| 91312 | <1% | 18 | $0.18 | |
| 91300 | <1% | 12 | $0.12 | |
| 91315 | <1% | 19 | $0.03 | |
| 90655 | <1% | 47 | $0.01 | |
| 99000 | 0% | 310 | $0.00 | |
| 90686 | 0% | 1,009 | $0.00 | |
| 36416 | 0% | 52 | $0.00 | |
| 90656 | 0% | 74 | $0.00 | |
| 99024 | 0% | 23 | $0.00 | |
| 91319 | 0% | 13 | $0.00 | |
| 99072 | 0% | 727 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 26 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 46 | $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 officialORTON, JUDY (PRESIDENT DIRECTOR)