Physician
Essex Pediatrics PC
Essex Pediatrics PC was paid $1.20M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoESSEX PEDIATRICS PC
ESSEX JCT, VT 05452
ESSEX JCT, VT 05452
33aNPI1104925817assigned 09/21/2006
33bProvider typePediatrics Physician
28Total paid$1.20M
24GClaims60,365
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Vermont
Rank by total paid#2 of 27
Median peer was paid$62K
This provider vs. median19×
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 | 7,653 | $377K | |
| 2019 | 8,632 | $364K | |
| 2020 | 7,883 | $249K | |
| 2021 | 9,998 | $71K | |
| 2022 | 9,326 | $68K | |
| 2023 | 8,330 | $65K | |
| 2024incomplete | 8,543 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 13,973 | 12,988 | $505K |
| 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 | 18% | 5,549 | 5,067 | $212K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 9,625 | 8,369 | $183K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 1,040 | 983 | $56K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 617 | 484 | $50K |
| 90461 | 3.5% | 1,775 | 1,589 | $42K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 1,294 | 1,237 | $41K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 2.0% | 715 | 695 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 2,270 | 2,209 | $23K |
| 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 | 1.0% | 4,010 | 3,817 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 92 | 78 | $10K |
| 90480 | <1% | 260 | 246 | $9K |
29 more codes
| 92551 | <1% | 2,721 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 216 | $8K |
| 99173 | <1% | 4,840 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 517 | $3K |
| 0072A | <1% | 49 | $2K | |
| 96127 | <1% | 2,054 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 383 | $2K |
| 0071A | <1% | 20 | $800.00 | |
| 0074A | <1% | 13 | $480.00 | |
| 0081A | <1% | 13 | $440.00 | |
| 87081 | <1% | 140 | $141.25 | |
| 83655 | <1% | 13 | $24.22 | |
| 91307 | <1% | 152 | $1.47 | |
| 91300 | <1% | 47 | $0.37 | |
| 90686 | <1% | 4,601 | $0.24 | |
| 91308 | <1% | 13 | $0.11 | |
| 91320 | <1% | 13 | $0.01 | |
| 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) | 0% | 1,034 | $0.00 |
| 99051 | 0% | 257 | $0.00 | |
| 90685 | 0% | 65 | $0.00 | |
| 90661 | 0% | 534 | $0.00 | |
| 90633 | 0% | 28 | $0.00 | |
| 90670 | 0% | 47 | $0.00 | |
| 36416 | 0% | 195 | $0.00 | |
| 99000 | 0% | 478 | $0.00 | |
| 90674 | 0% | 632 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 90698 | 0% | 45 | $0.00 | |
| 91319 | 0% | 13 | $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 officialROGERS-LOW, SUE (OFFICE MANAGER)