BROOKSIDE PEDIATRICS & ADOLESCENT MEDICINE PLLC
NPI: 1568578656
· BENNINGTON, VT 05201
· 208000000X
$1.16M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,741 |
$282K |
| 2019 |
5,130 |
$248K |
| 2020 |
4,011 |
$187K |
| 2021 |
5,104 |
$168K |
| 2022 |
7,304 |
$179K |
| 2023 |
3,260 |
$96K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,800 |
4,220 |
$467K |
| 99213 |
|
4,792 |
4,304 |
$321K |
| 99394 |
|
753 |
678 |
$72K |
| 90460 |
|
2,293 |
2,119 |
$66K |
| G9001 |
Mccd, initial rate |
1,221 |
1,221 |
$47K |
| 99393 |
|
469 |
458 |
$44K |
| 96110 |
|
3,835 |
3,320 |
$28K |
| 99212 |
|
610 |
569 |
$25K |
| 90461 |
|
506 |
469 |
$18K |
| 99392 |
|
185 |
172 |
$16K |
| 99215 |
Prolong outpt/office vis |
107 |
86 |
$14K |
| 87804 |
|
629 |
299 |
$10K |
| 96116 |
|
253 |
228 |
$9K |
| 96127 |
|
1,968 |
1,734 |
$6K |
| 87880 |
|
322 |
306 |
$5K |
| 96160 |
|
2,133 |
1,806 |
$4K |
| 99395 |
|
28 |
27 |
$3K |
| 96156 |
|
419 |
353 |
$2K |
| 94760 |
|
1,032 |
909 |
$1K |
| 99391 |
|
14 |
12 |
$1K |
| 96372 |
|
51 |
43 |
$609.47 |
| T1023 |
Program intake assessment |
13 |
13 |
$442.00 |
| 81025 |
|
28 |
24 |
$213.21 |
| 99406 |
|
56 |
55 |
$180.08 |
| 99401 |
|
72 |
71 |
$159.46 |
| 81002 |
|
14 |
12 |
$48.72 |
| 97802 |
|
399 |
353 |
$24.74 |
| J1100 |
Dexamethasone sodium phos |
15 |
15 |
$3.12 |
| 90686 |
|
866 |
814 |
$0.02 |
| G0444 |
Depression screen annual |
86 |
83 |
$0.00 |
| 3085F |
|
1,000 |
820 |
$0.00 |
| 90672 |
|
29 |
27 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
171 |
160 |
$0.00 |
| 3725F |
|
40 |
30 |
$0.00 |
| G9395 |
Ini phq9 >9 no remiss >=5 |
65 |
54 |
$0.00 |
| 2014F |
|
14 |
14 |
$0.00 |
| 90734 |
|
53 |
49 |
$0.00 |
| 97803 |
|
16 |
16 |
$0.00 |
| G9393 |
Ini phq9 >9 remiss <5 |
250 |
223 |
$0.00 |
| 1000F |
|
410 |
375 |
$0.00 |
| 90845 |
|
239 |
200 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
255 |
219 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |