Physician
Brookside Pediatrics & Adolescent Medicine PLLC
Brookside Pediatrics & Adolescent Medicine PLLC was paid $1.16M by Medicaid between Jan 2018 and Jun 2023, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoBROOKSIDE PEDIATRICS & ADOLESCENT MEDICINE PLLC
BENNINGTON, VT 05201
BENNINGTON, VT 05201
33aNPI1568578656assigned 08/22/2006
33bProvider typePediatrics Physician
28Total paid$1.16M
24GClaims30,550
24DCodes billed44
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Pediatrics Physician providers in Vermont
Rank by total paid#3 of 27
Median peer was paid$62K
This provider vs. median19×
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 | 5,741 | $282K | |
| 2019 | 5,130 | $248K | |
| 2020 | 4,011 | $187K | |
| 2021 | 5,104 | $168K | |
| 2022 | 7,304 | $179K | |
| 2023 | 3,260 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 4,800 | 4,220 | $467K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 4,792 | 4,304 | $321K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 753 | 678 | $72K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 2,293 | 2,119 | $66K |
| G9001 | Coordinated care fee, initial rate | 4.1% | 1,221 | 1,221 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 469 | 458 | $44K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 3,835 | 3,320 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 610 | 569 | $25K |
| 90461 | 1.6% | 506 | 469 | $18K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 185 | 172 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 107 | 86 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 629 | 299 | $10K |
32 more codes
| 96116 | <1% | 253 | $9K | |
| 96127 | <1% | 1,968 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 322 | $5K |
| 96160 | <1% | 2,133 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $3K |
| 96156 | <1% | 419 | $2K | |
| 94760 | <1% | 1,032 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 51 | $609.47 |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 13 | $442.00 |
| 81025 | <1% | 28 | $213.21 | |
| 99406 | <1% | 56 | $180.08 | |
| 99401 | <1% | 72 | $159.46 | |
| 81002 | <1% | 14 | $48.72 | |
| 97802 | <1% | 399 | $24.74 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 15 | $3.12 |
| 90686 | <1% | 866 | $0.02 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 86 | $0.00 |
| 3085F | 0% | 1,000 | $0.00 | |
| 90672 | 0% | 29 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 171 | $0.00 |
| 3725F | 0% | 40 | $0.00 | |
| G9395 | Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five | 0% | 65 | $0.00 |
| 2014F | 0% | 14 | $0.00 | |
| 90734 | 0% | 53 | $0.00 | |
| 97803 | 0% | 16 | $0.00 | |
| G9393 | Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five | 0% | 250 | $0.00 |
| 1000F | 0% | 410 | $0.00 | |
| 90845 | 0% | 239 | $0.00 | |
| 90651 | 0% | 26 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 255 | $0.00 |
| 90619 | 0% | 13 | $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 officialJOHNSON, THEODORE (OWNER)