Physician
Lamoille Health Partners, INC
Lamoille Health Partners, INC was paid $5.37M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoLAMOILLE HEALTH PARTNERS, INC
MORRISVILLE, VT 05661
MORRISVILLE, VT 05661
33aNPI1639127681assigned 05/04/2006
33bProvider typeFamily Medicine Physician
28Total paid$5.37M
24GClaims73,116
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Vermont
Rank by total paid#4 of 53
Median peer was paid$77K
This provider vs. median69×
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 | 16,051 | $1.01M | |
| 2019 | 10,766 | $764K | |
| 2020 | 5,877 | $384K | |
| 2021 | 8,591 | $575K | |
| 2022 | 9,534 | $723K | |
| 2023 | 12,126 | $969K | |
| 2024incomplete | 10,171 | $939K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 29,731 | 26,404 | $5.11M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 3.4% | 7,165 | 5,847 | $181K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,182 | 1,977 | $33K |
| 80305 | <1% | 841 | 717 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 369 | 358 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 116 | 112 | $6K |
| G9001 | Coordinated care fee, initial rate | <1% | 138 | 138 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 168 | 164 | $3K |
| 90688 | <1% | 207 | 206 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 18,693 | 16,848 | $2K |
| 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 | <1% | 9,380 | 8,426 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 74 | 73 | $1K |
17 more codes
| 36416 | <1% | 777 | $1K | |
| 0012A | <1% | 25 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 19 | $744.84 |
| 0011A | <1% | 38 | $680.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 19 | $640.18 |
| 90480 | <1% | 12 | $480.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 28 | $239.33 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | $145.01 |
| 87077 | <1% | 14 | $144.10 | |
| 96127 | <1% | 1,573 | $88.75 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 331 | $70.66 |
| 90686 | <1% | 887 | $36.92 | |
| 90750 | 0% | 13 | $0.00 | |
| 90656 | 0% | 65 | $0.00 | |
| 99000 | 0% | 113 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 51 | $0.00 |
| 91301 | 0% | 71 | $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 officialMAY, STUART (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lamoille Health Partners, INC | Morrisville, VT | $10.52M |
| Lamoille Health Partners, INC | Stowe, VT | $4.86M |
| Lamoille Health Partners, INC | Morrisville, VT | $4.57M |
| Lamoille Health Partners, INC | Morrisville, VT | $1.67M |
| Lamoille Health Partners INC. | Cambridge, VT | $164K |
| Lamoille Health Partners, INC | Morrisville, VT | $136K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.