LAKESHORE ALLERGY PC
NPI: 1639108863
· HOLLAND, MI 49424
· Allergy Physician
· NPI assigned 07/01/2006
$101K
Total Medicaid Paid
Provider Details
| Authorized Official | HUTSON, JULIE (OWNER OPERATOR PHYSICIAN) |
| NPI Enumeration Date | 07/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
674 |
$16K |
| 2019 |
60 |
$1K |
| 2020 |
196 |
$4K |
| 2021 |
779 |
$21K |
| 2022 |
967 |
$33K |
| 2023 |
731 |
$23K |
| 2024 |
63 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,556 |
619 |
$78K |
| 95117 |
|
1,671 |
661 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219 |
211 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |