Green Mountain Internal Medicine PLC

Green Mountain Internal Medicine PLC was paid $174K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoGREEN MOUNTAIN INTERNAL MEDICINE PLC
BURLINGTON, VT 05401

33aNPI1558885988assigned 07/27/2017

33bProvider typeInternal Medicine Physician

28Total paid$174K

24GClaims2,468

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Vermont

Rank by total paid#5 of 25

Median peer was paid$10K

This provider vs. median18×

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	335	$20K
2019	287	$20K
2020	289	$19K
2021	367	$24K
2022	438	$34K
2023	444	$32K
2024incomplete	308	$25K

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	55%	1,438	1,218	$95K
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	45%	990	865	$79K
36415	Collection of venous blood by venipuncture	<1%	40	38	$119.04

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 officialCAISE, DEBORAH (OFFICE MANAGER)