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    OpenPayerNPI Medicare & MedicaidLake Champlain Gynecologic Oncology, PC
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    Lake Champlain Gynecologic Oncology, PC — Billing Profile & Reimbursement Data

    NPI 1164418455 · South Burlington, VT · Gynecologic Oncology Physician

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    Lake Champlain Gynecologic Oncology, PC is a gynecologic oncology physician provider located in South Burlington, Vermont. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLake Champlain Gynecologic Oncology, PC
    Address1060 Hinesburg Rd
    CitySouth Burlington
    StateVT
    ZIP05403
    TaxonomyGynecologic Oncology Physician
    NPI EnumeratedSeptember 22, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$78.4K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…840$90$74.2K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.50$80$4.2K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.10$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications1,320$0$0
    G9903Patient screened for tobacco use and identified as a tobacco non-user690$0$0
    G9907Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason)60$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Vermont median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…155320680$30$146.1K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.810230$30$7.7K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.3740280$1$60
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications420190$0$0
    G9903Patient screened for tobacco use and identified as a tobacco non-user310170$0$0
    G9907Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason)11060$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lake Champlain Gynecologic Oncology, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gamal EltabbakhVTGynecologic Oncology Physician$66.1K$0
    Georgia EltabbakhVTMedical Physician Assistant$14.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Lake Champlain Gynecologic Oncology, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nfi Vermont, IncVTClinic/Center$0$33.6M
    Bla Partners, LLCVTClinical Medical Laboratory$0$15.2M
    Timberlane Dental GroupVTOrthodontics and Dentofacial Orthopedics Dentistry$0$7.5M
    Tms Vt, LLCVTDurable Medical Equipment & Medical Supplies$0$2.9M
    Michelle YoungVTOphthalmology Physician$2.1M$0
    Howard Center IncVTPsychiatry Physician$0$2M
    Vermont Eye Surgery & Laser CenterVTAmbulatory Surgical Clinic/Center$1.8M$2.7K
    David WeissgoldVTOphthalmology Physician$1.7M$0
    Surgi-care IncVTProsthetic/Orthotic Supplier$0$1.7M
    City Of So BurlingtonVTAmbulance$400.9K$1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Vermont Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Vermont Distribution
    Lake Champlain Gynecologic Oncology, PC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont