Medicaid Provider Spending

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

LAKE CHAMPLAIN GYNECOLOGIC ONCOLOGY, PC

NPI: 1164418455 · SOUTH BURLINGTON, VT 05403 · Physician Assistant · NPI assigned 09/22/2005

$78K
Total Medicaid Paid
2,979
Total Claims
2,625
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialELTABBAKH, GAMAL (PRESIDENT)
NPI Enumeration Date09/22/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 617 $20K
2019 602 $17K
2020 381 $11K
2021 508 $10K
2022 383 $9K
2023 296 $6K
2024 192 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 843 762 $74K
76830 Ultrasound, transvaginal 51 46 $4K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,317 1,143 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 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) 63 56 $0.00
99000 12 12 $0.00