Behavioral
Lamoille Health Partners, INC
Lamoille Health Partners, INC was paid $10.52M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoLAMOILLE HEALTH PARTNERS, INC
MORRISVILLE, VT 05661
MORRISVILLE, VT 05661
33aNPI1851349484assigned 05/05/2006
33bProvider typeAddiction (Substance Use Disorder) Psychologist
28Total paid$10.52M
24GClaims123,517
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
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 | 14,732 | $1.10M | |
| 2019 | 15,441 | $1.22M | |
| 2020 | 15,750 | $1.35M | |
| 2021 | 19,624 | $1.59M | |
| 2022 | 21,531 | $1.82M | |
| 2023 | 22,273 | $2.06M | |
| 2024incomplete | 14,166 | $1.39M |
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 | 96% | 58,945 | 31,648 | $10.07M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.9% | 3,896 | 2,043 | $308K |
| 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 | <1% | 2,706 | 2,113 | $83K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 1,026 | 384 | $33K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,433 | 718 | $17K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 33,078 | 14,485 | $4K |
| H0001 | Alcohol and/or drug assessment | <1% | 17 | 14 | $3K |
| 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% | 9,406 | 7,870 | $1K |
| 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% | 9,062 | 7,437 | $784.69 |
| 99441 | <1% | 13 | 12 | $600.86 | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,017 | 1,120 | $132.48 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 344 | 337 | $69.30 |
6 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 791 | $37.59 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 74 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 55 | $0.00 |
| 90836 | 0% | 260 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 243 | $0.00 |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 151 | $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 (PRESIDENT/CEO)
Parent organizationLAMOILLE HEALTH PARTNERS, INC
| Provider | Location | Paid |
|---|---|---|
| Lamoille Health Partners, INC | Morrisville, VT | $5.37M |
| 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.