Lakeshore Allergy PC

Lakeshore Allergy PC was paid $101K by Medicaid between Jan 2018 and Jan 2024, across 5 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 78% of everything it billed.

33Billing provider infoLAKESHORE ALLERGY PC
HOLLAND, MI 49424

33aNPI1639108863assigned 07/01/2006

33bProvider typeAllergy Physician

28Total paid$101K

24GClaims3,470

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Allergy Physician providers in Michigan

Rank by total paid#12 of 17

Median peer was paid$335K

This provider vs. median0.3×

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	674	$16K
2019	60	$1K
2020	196	$4K
2021	779	$21K
2022	967	$33K
2023	731	$23K
2024incomplete	63	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	78%	1,556	619	$78K
95117		10%	1,671	661	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.8%	219	211	$10K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.2%	12	12	$1K
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	1.1%	12	12	$1K

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 officialHUTSON, JULIE (OWNER OPERATOR PHYSICIAN)