Ut Lebonheur Pediatric Specialists, INC.

Ut Lebonheur Pediatric Specialists, INC. was paid $63.72M by Medicaid between Jan 2018 and Dec 2024, across 267 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 14% of everything it billed.

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	232,840	$9.77M
2019	233,569	$10.64M
2020	209,986	$8.68M
2021	235,667	$9.73M
2022	213,367	$8.68M
2023	215,756	$9.01M
2024incomplete	171,948	$7.21M

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	14%	114,500	101,478	$9.15M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	145,082	127,797	$7.84M
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.6%	34,617	30,763	$4.22M
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	4.1%	7,208	2,817	$2.64M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.1%	31,205	27,963	$2.64M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.8%	23,602	7,569	$1.77M
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	2.7%	14,972	13,158	$1.71M
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.7%	16,600	14,082	$1.71M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.4%	28,127	10,396	$1.54M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.3%	18,023	14,365	$1.50M
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	1.7%	10,734	9,634	$1.12M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.7%	12,811	10,151	$1.10M

255 more codes

93304		1.7%	22,029	$1.08M
99244	Office or other outpatient consultation, moderate to high complexity	1.6%	7,389	$1.05M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.5%	13,305	$967K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.4%	7,524	$887K
93325		1.4%	51,122	$862K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.3%	4,822	$858K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	1.3%	4,345	$845K
71045	Radiologic examination, chest; single view	1.2%	92,217	$793K
99243		1.2%	7,362	$767K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.2%	24,726	$759K
95812		1.1%	12,960	$730K
99238	Hospital discharge day management, 30 minutes or less	1.1%	12,234	$699K
92060		1.0%	14,778	$654K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	48,402	$621K
70450	Computed tomography, head or brain; without contrast material	<1%	14,535	$607K
93320		<1%	16,102	$606K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	17,105	$594K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	6,259	$587K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	41,778	$548K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	1,899	$512K
90472	Immunization administration, each additional vaccine (list separately)	<1%	35,967	$482K
71046	Radiologic examination, chest; 2 views	<1%	43,038	$472K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	2,848	$460K
54360		<1%	727	$414K
93321		<1%	30,031	$399K
99205	Prolong outpt/office vis	<1%	3,089	$392K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	3,667	$392K
54161		<1%	2,918	$391K
76770		<1%	10,356	$362K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	7,197	$323K
92508	Group treatment of speech, language, voice, communication, and/or auditory processing disorder	<1%	13,753	$298K
70551	Magnetic resonance imaging, brain; without contrast material	<1%	3,918	$296K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	34,123	$286K
74018		<1%	28,465	$253K
99222	Initial hospital care, per day, moderate complexity	<1%	2,519	$250K
74019		<1%	19,661	$226K
31622		<1%	2,088	$214K
54300		<1%	338	$203K
99223	Prolong inpt eval add15 m	<1%	1,274	$203K
94010		<1%	10,917	$198K
92015	Determination of refractive state	<1%	6,020	$194K
95782		<1%	1,435	$188K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	2,724	$185K
93000		<1%	8,514	$156K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	3,173	$150K
96127		<1%	27,783	$144K
92551		<1%	14,935	$140K
74230		<1%	5,534	$140K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	3,210	$133K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	4,462	$131K
99381		<1%	1,614	$130K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	1,525	$129K
76506		<1%	3,770	$116K
99219		<1%	1,097	$116K
83037		<1%	13,460	$107K
96112		<1%	914	$98K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	<1%	1,869	$97K
42830		<1%	671	$93K
43762		<1%	1,067	$91K
96160		<1%	16,175	$86K
00170	Anesthesia for intraoral procedures, including biopsy	<1%	710	$83K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	741	$78K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	495	$69K
31231		<1%	377	$69K
72125	Computed tomography, cervical spine; without contrast material	<1%	1,320	$67K
83655		<1%	6,356	$66K
76376		<1%	7,203	$63K
31526		<1%	749	$63K
99177		<1%	9,970	$62K
96161		<1%	11,394	$58K
31615		<1%	377	$57K
97150	Therapeutic procedure(s), group (2 or more individuals)	<1%	3,683	$56K
01922		<1%	412	$54K
99217		<1%	829	$51K
72170		<1%	6,413	$51K
90474		<1%	5,825	$51K
95117		<1%	3,648	$47K
93308		<1%	1,262	$47K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	718	$44K
95951		<1%	155	$42K
73130		<1%	4,642	$41K
70486		<1%	818	$40K
99221		<1%	519	$39K
31571		<1%	191	$39K
99236	Prolong inpt eval add15 m	<1%	206	$37K
73090		<1%	4,653	$37K
96401		<1%	574	$37K
72082		<1%	2,541	$37K
73630		<1%	4,069	$35K
S9441	Asthma education, non-physician provider, per session	<1%	574	$34K
99242		<1%	388	$33K
96111		<1%	454	$33K
31575		<1%	378	$32K
73110		<1%	3,699	$31K
92504		<1%	1,994	$30K
73610		<1%	3,445	$30K
69210		<1%	818	$29K
99245		<1%	158	$28K
73590		<1%	3,461	$28K
73070		<1%	3,652	$28K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	313	$28K
99254		<1%	237	$27K
99218		<1%	394	$26K
99239	Hospital discharge day management, more than 30 minutes	<1%	288	$25K
14040		<1%	43	$24K
93531		<1%	64	$23K
99476		<1%	70	$22K
81003		<1%	11,679	$20K
82962		<1%	8,247	$20K
93227		<1%	717	$20K
99235		<1%	129	$20K
90791	Psychiatric diagnostic evaluation	<1%	192	$19K
96116		<1%	350	$19K
73560		<1%	2,206	$18K
96118		<1%	119	$17K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	<1%	80	$16K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	765	$16K
92250		<1%	551	$15K
96132		<1%	198	$14K
95720		<1%	122	$14K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	841	$14K
96133		<1%	130	$13K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	1,062	$12K
70360		<1%	1,328	$12K
76857		<1%	522	$12K
73552		<1%	1,214	$11K
92083		<1%	230	$11K
96139		<1%	142	$10K
99417	Prolong home eval add 15m	<1%	414	$10K
85018		<1%	4,984	$10K
95813		<1%	125	$10K
94060		<1%	165	$10K
93784		<1%	139	$10K
74022		<1%	547	$9K
99358	Prolong nursin fac eval 15m	<1%	138	$9K
99234		<1%	67	$8K
99383		<1%	91	$8K
92133		<1%	235	$8K
77072		<1%	808	$8K
80061	Lipid panel	<1%	734	$7K
54640		<1%	36	$7K
51728		<1%	61	$6K
99253		<1%	82	$6K
93976		<1%	120	$5K
99418	Prolong nursin fac eval 15m	<1%	397	$5K
51798		<1%	416	$5K
90670		<1%	12,492	$4K
96119		<1%	118	$4K
70491		<1%	54	$4K
96152		<1%	233	$4K
01920		<1%	52	$4K
77076		<1%	117	$4K
90651		<1%	3,101	$4K
31541		<1%	12	$4K
70480		<1%	62	$4K
81025		<1%	686	$3K
54162		<1%	19	$3K
30901		<1%	31	$3K
75809		<1%	125	$3K
30802		<1%	43	$3K
96138		<1%	167	$3K
77075		<1%	107	$3K
75561		<1%	30	$3K
51797		<1%	61	$3K
90671		<1%	30	$3K
93018		<1%	132	$3K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	75	$3K
90686		<1%	11,819	$3K
41115		<1%	13	$3K
92511		<1%	17	$3K
93975		<1%	30	$2K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	26	$2K
73060		<1%	275	$2K
54163		<1%	16	$2K
95012		<1%	268	$2K
93567		<1%	32	$2K
77073		<1%	161	$2K
72141		<1%	31	$2K
51784		<1%	61	$2K
90832	Psychotherapy session, about 30 minutes	<1%	44	$2K
00731		<1%	20	$2K
00126		<1%	13	$2K
93298		<1%	62	$1K
99201		<1%	58	$1K
93296		<1%	58	$1K
74241		<1%	39	$1K
99354		<1%	14	$1K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results	<1%	49	$1K
93294		<1%	44	$1K
90723		<1%	10,196	$1K
74240		<1%	26	$1K
81002		<1%	413	$906.39
90473		<1%	227	$897.78
99442		<1%	24	$895.38
93280		<1%	15	$864.46
G0008	Administration of influenza virus vaccine	<1%	81	$854.45
90734		<1%	1,494	$720.17
90680		<1%	7,252	$720.16
93244		<1%	29	$706.55
92567		<1%	66	$668.10
97168		<1%	13	$653.17
73030		<1%	61	$629.57
76000		<1%	63	$592.95
90658		<1%	1,698	$528.44
90647		<1%	9,939	$519.40
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	20	$487.61
90633		<1%	4,821	$478.10
76870		<1%	16	$434.83
92587		<1%	14	$365.87
92285		<1%	17	$343.11
93272		<1%	15	$328.36
90710		<1%	880	$323.64
70220		<1%	25	$309.80
76536		<1%	12	$307.46
3008F		<1%	7,864	$300.00
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	40	$285.06
90707		<1%	2,040	$270.06
84443	Thyroid stimulating hormone (TSH)	<1%	62	$267.08
96136		<1%	16	$253.74
80053	Comprehensive metabolic panel	<1%	97	$246.05
98966		<1%	16	$238.50
82610		<1%	44	$234.87
90696		<1%	825	$215.82
90661		<1%	65	$192.52
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	71	$179.80
80069		<1%	46	$169.16
90674		<1%	1,504	$154.97
75565		<1%	12	$134.04
84439		<1%	48	$127.28
76010		<1%	12	$114.04
90716		<1%	1,869	$110.06
82570		<1%	32	$64.40
98960		<1%	237	$55.32
82977		<1%	16	$50.80
90688		<1%	430	$41.70
82043		<1%	15	$38.51
85027		<1%	12	$25.29
99072		<1%	11,646	$14.70
90461		<1%	153	$13.00
36416		<1%	12	$6.58
90620		<1%	77	$0.02
90700		<1%	975	$0.01
99024		0%	12,122	$0.00
3074F		0%	2,329	$0.00
90657		0%	1,038	$0.00
90634		0%	280	$0.00
3079F		0%	12	$0.00
99070		0%	24	$0.00
3078F		0%	2,137	$0.00
G1004	Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program	0%	1,101	$0.00
90685		0%	469	$0.00
90715		0%	108	$0.00
90672		0%	12	$0.00
99499		0%	19	$0.00
90649		0%	49	$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 officialBOWMAN, NYOKA (SUPERVISOR)