Physician
Pediatric Medicine, PLC
Pediatric Medicine, PLC was paid $358K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoPEDIATRIC MEDICINE, PLC
SOUTH BURLINGTON, VT 05403
SOUTH BURLINGTON, VT 05403
33aNPI1487701140assigned 01/04/2007
33bProvider typePediatrics Physician
28Total paid$358K
24GClaims12,818
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Vermont
Rank by total paid#9 of 27
Median peer was paid$62K
This provider vs. median5.7×
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 | 2,378 | $127K | |
| 2019 | 2,309 | $126K | |
| 2020 | 1,758 | $65K | |
| 2021 | 1,268 | $7K | |
| 2022 | 1,722 | $17K | |
| 2023 | 1,913 | $16K | |
| 2024incomplete | 1,470 | $0.00 |
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 | 42% | 4,249 | 4,002 | $150K |
| 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 | 34% | 2,386 | 2,222 | $123K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 3,127 | 2,991 | $66K |
| G9001 | Coordinated care fee, initial rate | 1.8% | 217 | 208 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 147 | 145 | $6K |
| 90461 | <1% | 63 | 61 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | 28 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 667 | 556 | $2K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 18 | 18 | $578.00 |
| 90686 | <1% | 1,753 | 1,677 | $216.76 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $198.36 |
| 90656 | 0% | 151 | 147 | $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 officialBUSHEE, LISA (BUSINESS MANAGER)