Clinic
Lamoille Health Partners, INC
Lamoille Health Partners, INC was paid $4.57M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoLAMOILLE HEALTH PARTNERS, INC
MORRISVILLE, VT 05661
MORRISVILLE, VT 05661
33aNPI1124436332assigned 07/31/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.57M
24GClaims65,555
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Vermont
Rank by total paid#8 of 33
Median peer was paid$1.23M
This provider vs. median3.7×
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 | 11,631 | $731K | |
| 2019 | 9,832 | $606K | |
| 2020 | 8,158 | $541K | |
| 2021 | 9,614 | $685K | |
| 2022 | 9,535 | $658K | |
| 2023 | 9,225 | $664K | |
| 2024incomplete | 7,560 | $687K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 96% | 25,679 | 21,465 | $4.39M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 7,388 | 6,029 | $91K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,732 | 2,923 | $45K |
| G9001 | Coordinated care fee, initial rate | <1% | 657 | 638 | $25K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 269 | 261 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 472 | 465 | $8K |
| 80061 | Lipid panel | <1% | 102 | 99 | $1K |
| 85018 | <1% | 456 | 432 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 67 | 66 | $1K |
| 83655 | <1% | 52 | 51 | $728.37 | |
| 90670 | <1% | 302 | 293 | $433.59 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 10,131 | 8,926 | $369.37 |
34 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,112 | $294.03 |
| 90686 | <1% | 2,002 | $70.18 | |
| 81003 | <1% | 12 | $27.00 | |
| 92558 | <1% | 185 | $22.01 | |
| 92551 | <1% | 263 | $17.41 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 492 | $10.07 |
| 90474 | <1% | 36 | $0.24 | |
| 90473 | <1% | 19 | $0.14 | |
| 90671 | <1% | 172 | $0.07 | |
| 90697 | <1% | 170 | $0.06 | |
| 99173 | 0% | 462 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 162 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,298 | $0.00 |
| 90685 | 0% | 132 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,169 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,830 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 263 | $0.00 |
| 90633 | 0% | 251 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 878 | $0.00 |
| 90681 | 0% | 27 | $0.00 | |
| 99177 | 0% | 39 | $0.00 | |
| 90672 | 0% | 20 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 99174 | 0% | 403 | $0.00 | |
| 99000 | 0% | 213 | $0.00 | |
| 36416 | 0% | 816 | $0.00 | |
| 90744 | 0% | 99 | $0.00 | |
| 96127 | 0% | 353 | $0.00 | |
| 90651 | 0% | 66 | $0.00 | |
| 90698 | 0% | 199 | $0.00 | |
| 90647 | 0% | 21 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 90656 | 0% | 46 | $0.00 | |
| 90677 | 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 officialMAY, STUART (PRESIDENT/CEO)
Parent organizationLAMOILLE HEALTH PARTNERS, INC
| Provider | Location | Paid |
|---|---|---|
| Lamoille Health Partners, INC | Morrisville, VT | $10.52M |
| Lamoille Health Partners, INC | Morrisville, VT | $5.37M |
| Lamoille Health Partners, INC | Stowe, VT | $4.86M |
| Lamoille Health Partners, INC | Morrisville, VT | $1.67M |
| Lamoille Health Partners INC. | Cambridge, VT | $164K |
| Lamoille Health Partners, INC | Morrisville, VT | $136K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.