Lake Champlain Gynecologic Oncology, PC

Lake Champlain Gynecologic Oncology, PC was paid $78K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.

33Billing provider infoLAKE CHAMPLAIN GYNECOLOGIC ONCOLOGY, PC
SOUTH BURLINGTON, VT 05403

33aNPI1164418455assigned 09/22/2005

33bProvider typePhysician Assistant

28Total paid$78K

24GClaims2,979

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Physician Assistant providers in Vermont

Rank by total paid#2 of 5

Median peer was paid$7K

This provider vs. median12×

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	617	$20K
2019	602	$17K
2020	381	$11K
2021	508	$10K
2022	383	$9K
2023	296	$6K
2024incomplete	192	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	95%	843	762	$74K
76830	Ultrasound, transvaginal	5.4%	51	46	$4K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,317	1,143	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	693	606	$0.00
G9907	Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason)	0%	63	56	$0.00
99000		0%	12	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 officialELTABBAKH, GAMAL (PRESIDENT)