LAKESIDE PEDIATRICS, PLLC
NPI: 1104880426
· BURLINGTON, VT 05401
· 208000000X
$330K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,117 |
$144K |
| 2019 |
3,093 |
$110K |
| 2020 |
2,051 |
$10K |
| 2021 |
2,777 |
$21K |
| 2022 |
2,654 |
$23K |
| 2023 |
2,019 |
$19K |
| 2024 |
1,695 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
7,199 |
6,713 |
$192K |
| 99214 |
|
652 |
609 |
$47K |
| 90460 |
|
1,552 |
1,478 |
$28K |
| 90471 |
|
1,455 |
1,400 |
$11K |
| T1023 |
Program intake assessment |
213 |
205 |
$7K |
| 99215 |
Prolong outpt/office vis |
48 |
45 |
$7K |
| 90480 |
|
169 |
163 |
$6K |
| 99393 |
|
68 |
66 |
$6K |
| 99392 |
|
64 |
64 |
$4K |
| 0072A |
|
107 |
106 |
$4K |
| 0071A |
|
89 |
88 |
$3K |
| 87880 |
|
251 |
243 |
$3K |
| 0124A |
|
68 |
65 |
$3K |
| 96161 |
|
1,517 |
1,319 |
$2K |
| 0004A |
|
32 |
31 |
$1K |
| 0074A |
|
20 |
20 |
$800.00 |
| 99391 |
|
12 |
12 |
$756.00 |
| 96127 |
|
265 |
194 |
$642.24 |
| 90756 |
|
34 |
28 |
$638.12 |
| 0154A |
|
14 |
14 |
$560.00 |
| G2012 |
Brief check in by md/qhp |
374 |
361 |
$444.21 |
| 87081 |
|
59 |
59 |
$354.94 |
| G2023 |
Specimen collect covid-19 |
291 |
283 |
$211.14 |
| 96110 |
|
112 |
91 |
$197.33 |
| 94640 |
|
12 |
12 |
$195.40 |
| 99212 |
|
13 |
12 |
$75.18 |
| 90461 |
|
14 |
14 |
$46.58 |
| 91307 |
|
222 |
213 |
$2.22 |
| 91312 |
|
68 |
65 |
$0.64 |
| 91308 |
|
71 |
67 |
$0.56 |
| 91300 |
|
49 |
47 |
$0.47 |
| 91315 |
|
14 |
14 |
$0.14 |
| 91320 |
|
51 |
51 |
$0.11 |
| 91319 |
|
22 |
21 |
$0.05 |
| 90686 |
|
2,008 |
1,919 |
$0.00 |
| 90688 |
|
52 |
52 |
$0.00 |
| 91318 |
|
13 |
12 |
$0.00 |
| 90656 |
|
106 |
106 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |