LAKE COUNTRY PEDIATRICS SC
NPI: 1801849963
· OCONOMOWOC, WI 53066
· Pediatrics Physician
· NPI assigned 05/18/2006
$229K
Total Medicaid Paid
Provider Details
| Authorized Official | MOYER, GREGORY (DR.) |
| NPI Enumeration Date | 05/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,769 |
$59K |
| 2019 |
2,161 |
$38K |
| 2020 |
2,345 |
$25K |
| 2021 |
1,817 |
$22K |
| 2022 |
1,810 |
$26K |
| 2023 |
2,265 |
$33K |
| 2024 |
1,478 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,778 |
3,252 |
$101K |
| 99214 |
|
977 |
862 |
$39K |
| 96110 |
|
1,767 |
1,519 |
$19K |
| 3008F |
|
2,006 |
1,822 |
$14K |
| 99173 |
|
876 |
792 |
$12K |
| 92551 |
|
914 |
826 |
$10K |
| 99392 |
|
146 |
141 |
$7K |
| 99393 |
|
146 |
131 |
$7K |
| 87880 |
|
220 |
197 |
$3K |
| 99394 |
|
54 |
52 |
$3K |
| D0120 |
|
501 |
473 |
$2K |
| 99211 |
|
170 |
145 |
$1K |
| 99000 |
|
379 |
328 |
$1K |
| 87651 |
|
39 |
33 |
$1K |
| 90460 |
|
1,268 |
1,124 |
$1K |
| 90686 |
|
253 |
231 |
$1K |
| 0072A |
|
24 |
16 |
$772.40 |
| 87081 |
|
97 |
86 |
$762.88 |
| 0071A |
|
22 |
17 |
$677.95 |
| 87804 |
|
32 |
15 |
$460.68 |
| 96127 |
|
120 |
113 |
$385.55 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
40 |
27 |
$258.06 |
| 90672 |
|
16 |
12 |
$241.52 |
| 36416 |
|
102 |
85 |
$191.95 |
| 81002 |
|
65 |
50 |
$140.23 |
| 90700 |
|
15 |
15 |
$49.65 |
| 99401 |
|
13 |
13 |
$9.48 |
| 91307 |
|
50 |
33 |
$0.08 |
| S9470 |
Nutritional counseling, dietitian visit |
991 |
903 |
$0.00 |
| 99072 |
|
509 |
396 |
$0.00 |
| 90461 |
|
39 |
37 |
$0.00 |
| 97802 |
|
16 |
15 |
$0.00 |