Physician
Border Pediatrics
Border Pediatrics was paid $141K by Medicaid between Jan 2018 and Jan 2021, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoBORDER PEDIATRICS
DERBY LINE, VT 05830
DERBY LINE, VT 05830
33aNPI1750483780assigned 09/01/2006
33bProvider typeInternal Medicine Physician
28Total paid$141K
24GClaims3,260
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Internal Medicine Physician providers in Vermont
Rank by total paid#6 of 25
Median peer was paid$10K
This provider vs. median15×
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 | 1,616 | $74K | |
| 2019 | 1,395 | $63K | |
| 2020 | 222 | $3K | |
| 2021 | 27 | $215.25 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 1,043 | 961 | $68K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 517 | 493 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 169 | 163 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 92 | 91 | $9K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 4.9% | 202 | 200 | $7K |
| 90461 | 4.8% | 201 | 194 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 148 | 144 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 304 | 294 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 25 | 24 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 25 | 25 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 57 | 54 | $883.73 |
| 81002 | <1% | 251 | 245 | $823.25 |
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 officialTATUM, MIRIAM (PRESIDENT)