Physician
Cold Hollow Family Practice PC
Cold Hollow Family Practice PC was paid $342K by Medicaid between Jan 2018 and Mar 2023, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoCOLD HOLLOW FAMILY PRACTICE PC
ENOSBURG FALLS, VT 05450
ENOSBURG FALLS, VT 05450
33aNPI1902892870assigned 09/26/2005
33bProvider typeFamily Medicine Physician
28Total paid$342K
24GClaims19,107
24DCodes billed30
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Family Medicine Physician providers in Vermont
Rank by total paid#18 of 53
Median peer was paid$77K
This provider vs. median4.4×
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 | 4,865 | $83K | |
| 2019 | 4,021 | $59K | |
| 2020 | 2,323 | $126K | |
| 2021 | 3,840 | $32K | |
| 2022 | 3,283 | $36K | |
| 2023 | 775 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 77% | 9,067 | 5,732 | $262K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 3,036 | 2,179 | $62K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 1,219 | 1,011 | $4K |
| 90674 | <1% | 189 | 146 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 367 | 296 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,017 | 2,136 | $2K |
| 0064A | <1% | 31 | 31 | $1K | |
| 80061 | Lipid panel | <1% | 362 | 277 | $922.62 |
| 0072A | <1% | 22 | 22 | $880.00 | |
| 0124A | <1% | 37 | 33 | $840.00 | |
| 99443 | <1% | 70 | 36 | $763.36 | |
| 0004A | <1% | 22 | 22 | $720.00 |
18 more codes
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 137 | $717.30 |
| 0071A | <1% | 18 | $680.00 | |
| 0003A | <1% | 12 | $440.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 198 | $281.66 |
| 82947 | <1% | 262 | $204.68 | |
| 81002 | <1% | 51 | $20.88 | |
| 96127 | <1% | 21 | $18.44 | |
| 81003 | <1% | 55 | $2.25 | |
| 91300 | <1% | 80 | $0.77 | |
| 90686 | <1% | 135 | $0.39 | |
| 91307 | <1% | 49 | $0.39 | |
| 91306 | <1% | 30 | $0.29 | |
| 91312 | <1% | 37 | $0.21 | |
| 91301 | <1% | 15 | $0.13 | |
| G0008 | Administration of influenza virus vaccine | 0% | 378 | $0.00 |
| 2014F | 0% | 146 | $0.00 | |
| G0434 | Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter | 0% | 25 | $0.00 |
| 96160 | 0% | 19 | $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 officialBABB, LORNE (OWNER/PHYSICIAN)