Physician
Jackson Street Pediatrics, LLC
Jackson Street Pediatrics, LLC was paid $746K by Medicaid between May 2021 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoJACKSON STREET PEDIATRICS, LLC
ALEXANDRIA, LA 71303
ALEXANDRIA, LA 71303
33aNPI1205454774assigned 07/10/2020
33bProvider typePediatrics Physician
28Total paid$746K
24GClaims41,121
24DCodes billed57
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#96 of 230
Median peer was paid$429K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2021 | 3,972 | $71K | |
| 2022 | 11,178 | $231K | |
| 2023 | 12,512 | $224K | |
| 2024incomplete | 13,459 | $219K |
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 | 29% | 5,796 | 4,459 | $218K |
| 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 | 20% | 2,711 | 2,031 | $145K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 1,588 | 1,281 | $81K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 1,243 | 1,043 | $70K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.5% | 3,102 | 2,421 | $34K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.8% | 1,216 | 818 | $29K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.6% | 1,851 | 1,531 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 421 | 385 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 988 | 821 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.9% | 2,890 | 2,247 | $22K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 1,831 | 586 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,137 | 770 | $9K |
45 more codes
| 96161 | 1.1% | 1,623 | $9K | |
| 92551 | 1.0% | 1,208 | $7K | |
| 99381 | <1% | 78 | $5K | |
| 87428 | <1% | 111 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 69 | $5K |
| 87807 | <1% | 393 | $3K | |
| 99188 | <1% | 263 | $3K | |
| 83655 | <1% | 342 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 962 | $2K |
| 0071A | <1% | 48 | $2K | |
| 90677 | <1% | 549 | $1K | |
| 96380 | <1% | 142 | $1K | |
| 99051 | <1% | 81 | $1K | |
| 0072A | <1% | 29 | $1K | |
| 99173 | <1% | 1,146 | $1K | |
| 0002A | <1% | 19 | $830.36 | |
| 0001A | <1% | 26 | $768.28 | |
| 85018 | <1% | 435 | $693.92 | |
| 99177 | <1% | 1,586 | $464.72 | |
| 96160 | <1% | 1,012 | $355.02 | |
| 90473 | <1% | 28 | $210.71 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 182 | $164.78 |
| 96127 | <1% | 203 | $132.03 | |
| 36416 | <1% | 545 | $65.87 | |
| 90686 | <1% | 691 | $19.56 | |
| 94760 | <1% | 24 | $8.76 | |
| 90633 | <1% | 392 | $0.71 | |
| 90381 | <1% | 31 | $0.11 | |
| 90671 | <1% | 41 | $0.08 | |
| 90380 | <1% | 14 | $0.05 | |
| 90660 | <1% | 88 | $0.05 | |
| 90651 | <1% | 14 | $0.03 | |
| 90680 | <1% | 1,108 | $0.01 | |
| 90700 | 0% | 62 | $0.00 | |
| 90672 | 0% | 145 | $0.00 | |
| 91300 | 0% | 40 | $0.00 | |
| 90648 | 0% | 30 | $0.00 | |
| 90670 | 0% | 747 | $0.00 | |
| 90707 | 0% | 29 | $0.00 | |
| 90461 | 0% | 59 | $0.00 | |
| 90697 | 0% | 1,177 | $0.00 | |
| 90656 | 0% | 194 | $0.00 | |
| 99000 | 0% | 254 | $0.00 | |
| 91307 | 0% | 97 | $0.00 | |
| 90716 | 0% | 30 | $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 officialWICKER-BROWN, KAI (OWNER)