Physician
Pediatric Medical Clinic INC
Pediatric Medical Clinic INC was paid $394K by Medicaid between Jan 2018 and Feb 2023, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoPEDIATRIC MEDICAL CLINIC INC
LA PLACE, LA 70068
LA PLACE, LA 70068
33aNPI1043376007assigned 12/27/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$394K
24GClaims9,799
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Louisiana
Rank by total paid#5 of 11
Median peer was paid$203K
This provider vs. median1.9×
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 | 2,930 | $118K | |
| 2019 | 2,886 | $107K | |
| 2020 | 1,659 | $69K | |
| 2021 | 1,565 | $61K | |
| 2022 | 706 | $35K | |
| 2023 | 53 | $4K |
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 | 42% | 2,402 | 2,090 | $166K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 2,939 | 2,579 | $131K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 546 | 524 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 256 | 244 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.2% | 1,203 | 1,128 | $17K |
| 92551 | 2.3% | 1,177 | 1,108 | $9K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 533 | 505 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 80 | 76 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 31 | 26 | $2K |
| 90674 | <1% | 164 | 152 | $240.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | 15 | $170.69 |
| 92568 | <1% | 13 | 13 | $145.04 |
6 more codes
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 officialLAMBERT, OLIVER (PHYSICIAN)