Pediatric Clinic Westbank

Pediatric Clinic Westbank was paid $17.81M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoPEDIATRIC CLINIC WESTBANK
GRETNA, LA 70056

33aNPI1003904236assigned 10/11/2006

33bProvider typePediatrics Physician

28Total paid$17.81M

24GClaims869,201

24DCodes billed89

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Louisiana

Rank by total paid#6 of 230

Median peer was paid$429K

This provider vs. median41×

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	118,316	$2.37M
2019	134,235	$2.77M
2020	99,106	$2.01M
2021	123,286	$2.59M
2022	122,194	$2.85M
2023	157,164	$2.84M
2024incomplete	114,900	$2.38M

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	21%	86,823	73,953	$3.67M
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	17%	41,393	36,992	$3.01M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.5%	20,901	18,774	$1.33M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	7.2%	51,678	47,680	$1.29M
87634		6.4%	21,275	18,498	$1.13M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.1%	20,839	16,853	$1.09M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.9%	16,766	15,422	$1.06M
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.5%	12,083	10,780	$808K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	3.9%	16,475	14,200	$696K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	3.4%	92,388	79,401	$598K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.3%	47,766	40,778	$588K
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	3.0%	8,360	7,636	$541K

77 more codes

90472	Immunization administration, each additional vaccine (list separately)	2.0%	28,645	$349K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.3%	20,785	$224K
80061	Lipid panel	1.1%	20,483	$197K
99051		<1%	12,144	$171K
92551		<1%	18,461	$131K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	37,473	$106K
90474		<1%	9,558	$70K
82947		<1%	20,165	$65K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	12,818	$60K
99238	Hospital discharge day management, 30 minutes or less	<1%	1,172	$51K
99460		<1%	1,291	$47K
87806		<1%	2,847	$40K
97803		<1%	35,091	$36K
99173		<1%	21,659	$36K
81025		<1%	7,261	$36K
99499		<1%	3,581	$31K
83655		<1%	3,037	$31K
90620		<1%	2,660	$28K
99462		<1%	1,364	$27K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	886	$22K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	870	$21K
96161		<1%	10,518	$21K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	908	$20K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	384	$20K
81001		<1%	6,566	$17K
96127		<1%	15,108	$17K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	1,801	$16K
88720		<1%	4,339	$11K
90677		<1%	454	$11K
99204	Doctor's office visit, new patient (more involved)	<1%	128	$11K
99203	Doctor's office visit, new patient (routine)	<1%	129	$9K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	278	$8K
90651		<1%	4,438	$7K
94760		<1%	40,054	$5K
97802		<1%	3,000	$4K
87807		<1%	337	$4K
99188		<1%	183	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	78	$3K
80305		<1%	515	$3K
85027		<1%	520	$3K
90671		<1%	4,074	$3K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	1,190	$2K
69209		<1%	322	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	178	$2K
90619		<1%	2,103	$2K
90656		<1%	829	$2K
69210		<1%	64	$2K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,112	$2K
90686		<1%	9,257	$2K
99384		<1%	13	$1K
90716		<1%	1,890	$1K
90734		<1%	1,678	$1K
99383		<1%	24	$1K
99382		<1%	15	$919.27
85018		<1%	306	$616.19
96380		<1%	51	$460.10
90661		<1%	65	$450.27
90670		<1%	11,182	$293.32
90707		<1%	1,739	$239.09
90715		<1%	824	$186.91
90698		<1%	11,945	$140.57
90680		<1%	9,832	$127.06
92567		<1%	12	$100.65
81003		<1%	42	$84.65
90381		<1%	73	$30.82
90633		<1%	7,817	$30.71
82948		<1%	12	$27.83
99441		<1%	30	$12.28
36416		<1%	206	$7.76
99442		<1%	58	$4.38
90744		0%	7,518	$0.00
90696		0%	1,055	$0.00
90710		0%	1,244	$0.00
90648		0%	1,122	$0.00
90700		0%	1,553	$0.00
90685		0%	1,016	$0.00
90713		0%	14	$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 officialGRAFE, TAMMY (OFFICE MANAGER)