Physician
Interventional Spine of Vermont, PLLC
Interventional Spine of Vermont, PLLC was paid $4K by Medicaid between Sep 2022 and Feb 2023, across 1 billing code. Its largest line is 99204, doctor's office visit, new patient (more involved) — 100% of everything it billed.
33Billing provider infoINTERVENTIONAL SPINE OF VERMONT, PLLC
WILLISTON, VT 05495
WILLISTON, VT 05495
33aNPI1497359103assigned 11/23/2020
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$4K
24GClaims44
24DCodes billed1
24AFirst – last monthSep 2022 – Feb 2023
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 | |
|---|---|---|---|
| 2022 | 26 | $2K | |
| 2023 | 18 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 100% | 44 | 42 | $4K |
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 officialCABALLERO-MANRIQUE, ESTHER (PHYSICIAN OWNER)