Physician
Lake Country Pediatrics SC
Lake Country Pediatrics SC was paid $229K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoLAKE COUNTRY PEDIATRICS SC
OCONOMOWOC, WI 53066
OCONOMOWOC, WI 53066
33aNPI1801849963assigned 05/18/2006
33bProvider typePediatrics Physician
28Total paid$229K
24GClaims15,645
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#33 of 200
Median peer was paid$4K
This provider vs. median53×
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 | 3,769 | $59K | |
| 2019 | 2,161 | $38K | |
| 2020 | 2,345 | $25K | |
| 2021 | 1,817 | $22K | |
| 2022 | 1,810 | $26K | |
| 2023 | 2,265 | $33K | |
| 2024incomplete | 1,478 | $27K |
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 | 44% | 3,778 | 3,252 | $101K |
| 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 | 17% | 977 | 862 | $39K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.4% | 1,767 | 1,519 | $19K |
| 3008F | 6.2% | 2,006 | 1,822 | $14K | |
| 99173 | 5.4% | 876 | 792 | $12K | |
| 92551 | 4.3% | 914 | 826 | $10K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 146 | 141 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 146 | 131 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 220 | 197 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 54 | 52 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 501 | 473 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 170 | 145 | $1K |
20 more codes
| 99000 | <1% | 379 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 39 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,268 | $1K |
| 90686 | <1% | 253 | $1K | |
| 0072A | <1% | 24 | $772.40 | |
| 87081 | <1% | 97 | $762.88 | |
| 0071A | <1% | 22 | $677.95 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $460.68 |
| 96127 | <1% | 120 | $385.55 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 40 | $258.06 |
| 90672 | <1% | 16 | $241.52 | |
| 36416 | <1% | 102 | $191.95 | |
| 81002 | <1% | 65 | $140.23 | |
| 90700 | <1% | 15 | $49.65 | |
| 99401 | <1% | 13 | $9.48 | |
| 91307 | <1% | 50 | $0.08 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 991 | $0.00 |
| 99072 | 0% | 509 | $0.00 | |
| 90461 | 0% | 39 | $0.00 | |
| 97802 | 0% | 16 | $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 officialMOYER, GREGORY (DR.)