Physician
North Oaks Pediatric Clinic, L.L.P.
North Oaks Pediatric Clinic, L.L.P. was paid $14.13M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoNORTH OAKS PEDIATRIC CLINIC, L.L.P.
HAMMOND, LA 70403
HAMMOND, LA 70403
33aNPI1275532673assigned 07/18/2005
33bProvider typePediatrics Physician
28Total paid$14.13M
24GClaims650,892
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#8 of 230
Median peer was paid$429K
This provider vs. median33×
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 | 107,771 | $3.42M | |
| 2019 | 109,400 | $3.37M | |
| 2020 | 93,390 | $1.83M | |
| 2021 | 94,988 | $451K | |
| 2022 | 86,081 | $505K | |
| 2023 | 89,998 | $2.52M | |
| 2024incomplete | 69,264 | $2.03M |
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 | 35% | 184,852 | 161,476 | $4.96M |
| 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 | 17% | 61,900 | 55,817 | $2.38M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 27,697 | 25,733 | $1.34M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 27,081 | 24,653 | $1.19M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 24,781 | 23,223 | $1.13M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 18,791 | 17,556 | $940K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.5% | 52,313 | 46,451 | $500K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 33,036 | 30,366 | $395K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 9,054 | 8,488 | $289K |
| 99051 | <1% | 8,855 | 8,219 | $140K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 22,785 | 18,356 | $122K |
| 92551 | <1% | 20,081 | 18,613 | $105K |
56 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,565 | $100K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12,378 | $98K |
| 54150 | <1% | 612 | $77K | |
| 90474 | <1% | 10,631 | $69K | |
| 99460 | <1% | 1,855 | $66K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,260 | $52K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,496 | $45K |
| 87430 | <1% | 5,420 | $38K | |
| 99173 | <1% | 15,901 | $21K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,063 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 909 | $13K |
| 87428 | <1% | 1,574 | $12K | |
| 90651 | <1% | 1,668 | $5K | |
| 99462 | <1% | 245 | $4K | |
| 99188 | <1% | 288 | $4K | |
| 90734 | <1% | 3,622 | $4K | |
| 94664 | <1% | 939 | $4K | |
| 90686 | <1% | 11,055 | $3K | |
| 87807 | <1% | 380 | $2K | |
| 69210 | <1% | 101 | $2K | |
| 99441 | <1% | 183 | $2K | |
| 90620 | <1% | 399 | $1K | |
| 99381 | <1% | 12 | $915.48 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $791.02 |
| 81002 | <1% | 543 | $595.87 | |
| 17250 | <1% | 13 | $551.99 | |
| 0071A | <1% | 96 | $378.12 | |
| 0072A | <1% | 90 | $331.03 | |
| 90619 | <1% | 1,013 | $310.72 | |
| 90716 | <1% | 2,009 | $244.04 | |
| 90715 | <1% | 1,493 | $227.59 | |
| 85018 | <1% | 100 | $181.44 | |
| 90656 | <1% | 333 | $160.53 | |
| 96127 | <1% | 303 | $144.92 | |
| 90707 | <1% | 2,055 | $141.84 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 144 | $133.45 |
| 54450 | <1% | 14 | $75.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 705 | $74.32 |
| 94760 | <1% | 81 | $9.63 | |
| 90648 | <1% | 16,314 | $0.19 | |
| 90680 | <1% | 10,144 | $0.08 | |
| 90671 | <1% | 1,578 | $0.04 | |
| 90633 | <1% | 7,493 | $0.01 | |
| 90710 | 0% | 1,889 | $0.00 | |
| 90685 | 0% | 279 | $0.00 | |
| 90670 | 0% | 12,558 | $0.00 | |
| 90700 | 0% | 2,001 | $0.00 | |
| 91300 | 0% | 65 | $0.00 | |
| J1020 | Injection, methylprednisolone acetate, 20 mg | 0% | 43 | $0.00 |
| 0002A | 0% | 14 | $0.00 | |
| 90723 | 0% | 12,497 | $0.00 | |
| 90677 | 0% | 2,383 | $0.00 | |
| 90696 | 0% | 1,729 | $0.00 | |
| 99000 | 0% | 848 | $0.00 | |
| 91307 | 0% | 255 | $0.00 | |
| 0001A | 0% | 14 | $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 officialMONISTERE, LESLIE (INSURANCE & BILLING MANAGER)