NP / PA
Pediatric Associates of Denham Springs
Pediatric Associates of Denham Springs was paid $3.98M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF DENHAM SPRINGS
DENHAM SPRINGS, LA 70726
DENHAM SPRINGS, LA 70726
33aNPI1134565112assigned 05/16/2013
33bProvider typePediatric Nurse Practitioner
28Total paid$3.98M
24GClaims141,594
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Louisiana
Rank by total paid#2 of 22
Median peer was paid$83K
This provider vs. median48×
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 | 7,284 | $195K | |
| 2019 | 6,380 | $203K | |
| 2020 | 24,028 | $546K | |
| 2021 | 24,907 | $692K | |
| 2022 | 26,720 | $763K | |
| 2023 | 28,596 | $830K | |
| 2024incomplete | 23,679 | $752K |
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 | 41% | 28,839 | 24,339 | $1.63M |
| 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% | 19,451 | 16,856 | $723K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 5,217 | 4,550 | $308K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 4,536 | 4,156 | $274K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.7% | 10,473 | 8,767 | $227K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 3,585 | 3,046 | $194K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 2,991 | 2,639 | $193K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 10,947 | 8,342 | $120K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 6,597 | 5,436 | $74K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 5,668 | 4,089 | $45K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,898 | 1,645 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 318 | 280 | $29K |
55 more codes
| 92551 | <1% | 3,963 | $27K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,094 | $19K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,197 | $14K |
| 99381 | <1% | 198 | $14K | |
| 99173 | <1% | 5,958 | $9K | |
| 90474 | <1% | 1,148 | $8K | |
| 99051 | <1% | 425 | $5K | |
| 96127 | <1% | 2,270 | $5K | |
| 83655 | <1% | 783 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 425 | $4K |
| 99188 | <1% | 259 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 71 | $3K |
| 96160 | <1% | 2,566 | $3K | |
| 99383 | <1% | 58 | $3K | |
| 96161 | <1% | 735 | $3K | |
| 87807 | <1% | 148 | $2K | |
| 99050 | <1% | 159 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 28 | $1K |
| 85018 | <1% | 774 | $1K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 110 | $750.00 |
| 81025 | <1% | 154 | $674.01 | |
| 90473 | <1% | 72 | $396.34 | |
| 94760 | <1% | 539 | $242.54 | |
| 81003 | <1% | 137 | $177.12 | |
| 99177 | <1% | 578 | $175.00 | |
| 90621 | <1% | 168 | $168.40 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 75 | $129.02 |
| 99499 | <1% | 12 | $108.00 | |
| 36416 | <1% | 1,411 | $102.18 | |
| 90686 | <1% | 971 | $58.09 | |
| 90671 | <1% | 602 | $5.72 | |
| 90656 | <1% | 45 | $3.75 | |
| 90651 | <1% | 440 | $1.13 | |
| 90633 | <1% | 1,053 | $0.67 | |
| 90647 | <1% | 84 | $0.07 | |
| 90744 | 0% | 385 | $0.00 | |
| 90680 | 0% | 997 | $0.00 | |
| 90698 | 0% | 707 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 1,387 | $0.00 |
| 90697 | 0% | 547 | $0.00 | |
| 90619 | 0% | 234 | $0.00 | |
| 90696 | 0% | 138 | $0.00 | |
| 90716 | 0% | 64 | $0.00 | |
| 99000 | 0% | 779 | $0.00 | |
| 3074F | 0% | 42 | $0.00 | |
| 90688 | 0% | 28 | $0.00 | |
| 90734 | 0% | 311 | $0.00 | |
| 90670 | 0% | 1,636 | $0.00 | |
| 90710 | 0% | 721 | $0.00 | |
| 90672 | 0% | 103 | $0.00 | |
| 90707 | 0% | 67 | $0.00 | |
| 90685 | 0% | 90 | $0.00 | |
| 90700 | 0% | 64 | $0.00 | |
| 90715 | 0% | 52 | $0.00 | |
| 3078F | 0% | 12 | $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 officialZGANJAR, BRIAN (OWNER/MD)