Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHLAKE PEDIATRICS, INC.

NPI: 1144315250 · BIRMINGHAM, LA 35244 · Pediatrics Physician · NPI assigned 10/04/2006

$1.01M
Total Medicaid Paid
20,230
Total Claims
17,972
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCOWN, ANDREW (PHYSICIAN/DIRECTOR)
NPI Enumeration Date10/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,942 $166K
2019 3,087 $122K
2020 1,686 $83K
2021 2,531 $137K
2022 2,929 $164K
2023 3,224 $177K
2024 2,831 $162K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,256 8,634 $674K
90460 Immunization administration through 18 years of age via any route, first or only component 1,599 1,570 $93K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 795 669 $75K
90461 641 630 $40K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,186 1,086 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 243 236 $24K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 199 199 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,579 1,464 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 253 252 $7K
90671 27 27 $6K
90688 338 336 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 752 692 $6K
36415 Collection of venous blood by venipuncture 1,720 1,544 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 52 52 $5K
90674 86 85 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 66 63 $1K
90707 12 12 $1K
90685 41 40 $777.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 186 186 $600.00
90686 25 25 $475.75
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 13 $376.95
81002 67 66 $176.94
99080 80 79 $0.00