PEDIATRIC MEDICINE, PLC
NPI: 1487701140
· SOUTH BURLINGTON, VT 05403
· 208000000X
$358K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
1,470 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
4,249 |
4,002 |
$150K |
| 99214 |
|
2,386 |
2,222 |
$123K |
| 90460 |
|
3,127 |
2,991 |
$66K |
| G9001 |
Mccd, initial rate |
217 |
208 |
$6K |
| 99393 |
|
147 |
145 |
$6K |
| 90461 |
|
63 |
61 |
$2K |
| 99394 |
|
28 |
28 |
$2K |
| 96110 |
|
667 |
556 |
$2K |
| T1023 |
Program intake assessment |
18 |
18 |
$578.00 |
| 90686 |
|
1,753 |
1,677 |
$216.76 |
| 87880 |
|
12 |
12 |
$198.36 |
| 90656 |
|
151 |
147 |
$0.00 |