Medicaid Provider Spending

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

LAKESIDE PEDIATRICS, PLLC

NPI: 1104880426 · BURLINGTON, VT 05401 · Pediatrics Physician · NPI assigned 04/13/2006

$330K
Total Medicaid Paid
17,406
Total Claims
16,288
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERGERON, LYNN (BUSINESS OFFICE MANAGER)
NPI Enumeration Date04/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,199 6,713 $192K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 652 609 $47K
90460 Immunization administration through 18 years of age via any route, first or only component 1,552 1,478 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,455 1,400 $11K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 213 205 $7K
99215 Prolong outpt/office vis 48 45 $7K
90480 169 163 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 68 66 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 64 64 $4K
0072A 107 106 $4K
0071A 89 88 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 251 243 $3K
0124A 68 65 $3K
96161 1,517 1,319 $2K
0004A 32 31 $1K
0074A 20 20 $800.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $756.00
96127 265 194 $642.24
90756 34 28 $638.12
0154A 14 14 $560.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 374 361 $444.21
87081 59 59 $354.94
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 291 283 $211.14
96110 Developmental screening, with scoring and documentation, per standardized instrument 112 91 $197.33
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $195.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 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