Behavioral
Primary Care Health Partners - Vermont LLP
Primary Care Health Partners - Vermont LLP was paid $2.76M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoPRIMARY CARE HEALTH PARTNERS - VERMONT LLP
WILLISTON, VT 05495
WILLISTON, VT 05495
33aNPI1285687616assigned 05/18/2006
33bProvider typeMental Health Counselor
28Total paid$2.76M
24GClaims250,614
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Vermont
Rank by total paid#4 of 250
Median peer was paid$65K
This provider vs. median43×
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 | 28,092 | $558K | |
| 2019 | 26,983 | $462K | |
| 2020 | 21,925 | $269K | |
| 2021 | 30,393 | $298K | |
| 2022 | 48,343 | $573K | |
| 2023 | 50,399 | $544K | |
| 2024incomplete | 44,479 | $51K |
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 | 37% | 80,154 | 71,745 | $1.01M |
| 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 | 29% | 43,689 | 38,285 | $793K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.6% | 21,382 | 19,883 | $238K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 3,309 | 2,885 | $191K |
| 90461 | 3.4% | 7,396 | 6,679 | $94K | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 3.2% | 2,709 | 2,536 | $87K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 3,458 | 2,816 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 4,744 | 4,504 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 4,518 | 4,382 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 3,403 | 2,953 | $29K |
| 90480 | 1.1% | 1,078 | 762 | $29K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,190 | 4,928 | $16K |
70 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,901 | $13K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 414 | $13K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 459 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,741 | $11K |
| 99441 | <1% | 1,123 | $9K | |
| 96127 | <1% | 15,556 | $8K | |
| 0072A | <1% | 134 | $5K | |
| 0071A | <1% | 115 | $4K | |
| 99173 | <1% | 6,160 | $4K | |
| 0124A | <1% | 85 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,068 | $2K |
| 99442 | <1% | 340 | $2K | |
| 90674 | <1% | 145 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,428 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 40 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 68 | $1K |
| 80305 | <1% | 587 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,037 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 46 | $1K |
| 99406 | <1% | 522 | $838.89 | |
| 99417 | Prolong home eval add 15m | <1% | 14 | $763.75 |
| 92551 | <1% | 547 | $745.90 | |
| 99443 | <1% | 49 | $667.42 | |
| 90677 | <1% | 283 | $550.42 | |
| 0154A | <1% | 14 | $520.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 377 | $467.67 |
| 90686 | <1% | 11,050 | $438.73 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $401.14 |
| 96160 | <1% | 2,075 | $384.14 | |
| 94760 | <1% | 1,149 | $313.12 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 45 | $297.19 |
| 96161 | <1% | 226 | $289.26 | |
| 90671 | <1% | 470 | $238.82 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 77 | $219.72 |
| 90688 | <1% | 54 | $217.98 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 173 | $151.59 |
| 83655 | <1% | 199 | $118.96 | |
| 85018 | <1% | 643 | $95.38 | |
| 80061 | Lipid panel | <1% | 127 | $79.13 |
| 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) | <1% | 1,211 | $9.52 |
| 99000 | <1% | 6,265 | $9.47 | |
| 91307 | <1% | 437 | $3.77 | |
| 91300 | <1% | 48 | $0.45 | |
| 91312 | <1% | 42 | $0.41 | |
| 91308 | <1% | 32 | $0.14 | |
| 91315 | <1% | 16 | $0.13 | |
| 90670 | <1% | 813 | $0.04 | |
| 90680 | 0% | 335 | $0.00 | |
| 90698 | 0% | 1,451 | $0.00 | |
| 36416 | 0% | 1,756 | $0.00 | |
| 90651 | 0% | 167 | $0.00 | |
| 90656 | 0% | 1,231 | $0.00 | |
| 90744 | 0% | 131 | $0.00 | |
| 90619 | 0% | 141 | $0.00 | |
| 91319 | 0% | 98 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 27 | $0.00 |
| 99050 | 0% | 26 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| 91318 | 0% | 24 | $0.00 | |
| 3074F | 0% | 13 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 66 | $0.00 |
| 99051 | 0% | 238 | $0.00 | |
| 91320 | 0% | 65 | $0.00 | |
| 90685 | 0% | 142 | $0.00 | |
| 90633 | 0% | 79 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| 90661 | 0% | 75 | $0.00 | |
| 3078F | 0% | 25 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90672 | 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 officialASSELIN, JON (COO)
| Provider | Location | Paid |
|---|---|---|
| Primary Care Health Partners - New York LLP | Plattsburgh, NY | $3.22M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.