LAKESHORE PEDIATRIC CENTER, P.A.

$1.67M

Total Medicaid Paid

99,925

Total Claims

66,283

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		11,753	9,352	$650K
99199		58,881	32,427	$372K
99214		2,310	2,023	$204K
90460		2,339	2,011	$109K
99393		730	621	$60K
99392		654	543	$57K
90472		903	766	$45K
99391		490	417	$42K
87880		2,353	2,109	$29K
99394		199	179	$19K
99401		641	579	$17K
90471		715	648	$13K
96110		1,726	1,225	$12K
87804		915	406	$11K
D0145		192	166	$7K
92551		1,782	1,562	$5K
D1206		205	178	$3K
99051		136	121	$3K
99212		56	54	$2K
96127		471	393	$2K
90686		819	766	$2K
99173		2,326	2,025	$2K
96160		402	345	$1K
87811		32	31	$1K
80061		46	38	$669.69
81002		485	416	$560.95
90734		26	24	$540.30
96161		150	139	$507.93
87426		13	13	$495.69
G0315	Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)	16	16	$492.32
90670		306	244	$448.99
83655		26	25	$407.68
99211		82	79	$407.17
85018		234	191	$279.91
90651		12	12	$257.98
85014		26	25	$30.70
99072		4,221	3,321	$2.90
99000		1,819	1,571	$0.00
36416		780	665	$0.00
90656		60	58	$0.00
90680		39	39	$0.00
90677		13	13	$0.00
90700		321	259	$0.00
90633		35	27	$0.00
90713		76	67	$0.00
90648		109	94	$0.00

Medicaid Provider Spending