Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lakeside Pediatrics, PLLC

Lakeside Pediatrics, PLLC was paid $330K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoLAKESIDE PEDIATRICS, PLLC
BURLINGTON, VT 05401
33aNPI1104880426assigned 04/13/2006
33bProvider typePediatrics Physician
28Total paid$330K
24GClaims17,406
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Vermont

Rank by total paid#10 of 27
Median peer was paid$62K
This provider vs. median5.3×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20183,117$144K
20193,093$110K
20202,051$10K
20212,777$21K
20222,654$23K
20232,019$19K
2024incomplete1,695$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58% 7,199 6,713 $192K
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 14% 652 609 $47K
90460 Immunization administration through 18 years of age via any route, first or only component 8.6% 1,552 1,478 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.3% 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 2.2% 213 205 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 48 45 $7K
90480 1.9% 169 163 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.7% 68 66 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.3% 64 64 $4K
0072A 1.3% 107 106 $4K
0071A 1.1% 89 88 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 251 243 $3K
28 more codes
0124A <1% 68 $3K
96161 <1% 1,517 $2K
0004A <1% 32 $1K
0074A <1% 20 $800.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 12 $756.00
96127 <1% 265 $642.24
90756 <1% 34 $638.12
0154A <1% 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 <1% 374 $444.21
87081 <1% 59 $354.94
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 291 $211.14
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 112 $197.33
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 12 $195.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 $75.18
90461 <1% 14 $46.58
91307 <1% 222 $2.22
91312 <1% 68 $0.64
91308 <1% 71 $0.56
91300 <1% 49 $0.47
91315 <1% 14 $0.14
91320 <1% 51 $0.11
91319 <1% 22 $0.05
90686 0% 2,008 $0.00
90688 0% 52 $0.00
91318 0% 13 $0.00
90656 0% 106 $0.00
90685 0% 14 $0.00
90661 0% 12 $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 officialBERGERON, LYNN (BUSINESS OFFICE MANAGER)