Clinic
Harris Memorial Pediatric Clinic, LLC
Harris Memorial Pediatric Clinic, LLC was paid $58K by Medicaid between Jan 2018 and May 2018, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoHARRIS MEMORIAL PEDIATRIC CLINIC, LLC
SHREVEPORT, LA 71107
SHREVEPORT, LA 71107
33aNPI1285065383assigned 11/29/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$58K
24GClaims2,701
24DCodes billed34
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Primary Care Clinic/Center providers in Louisiana
Rank by total paid#64 of 92
Median peer was paid$157K
This provider vs. median0.4×
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 | 2,701 | $58K |
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 | 27% | 345 | 324 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 88 | 85 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.7% | 196 | 191 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 77 | 77 | $5K |
| 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 | 9.2% | 78 | 76 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.4% | 65 | 64 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.6% | 135 | 132 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.9% | 263 | 251 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 35 | 35 | $2K |
| 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 | 2.8% | 16 | 16 | $2K |
| 92551 | 2.8% | 206 | 201 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 90 | 81 | $955.55 |
22 more codes
| 99173 | <1% | 231 | $435.56 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $367.64 |
| 90474 | <1% | 14 | $127.82 | |
| 85018 | <1% | 53 | $118.00 | |
| S8096 | Portable peak flow meter | <1% | 73 | $65.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 26 | $52.03 |
| 36416 | <1% | 53 | $7.59 | |
| 94760 | <1% | 61 | $4.02 | |
| 99000 | 0% | 52 | $0.00 | |
| 90680 | 0% | 15 | $0.00 | |
| 90686 | 0% | 81 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 30 | $0.00 |
| 90700 | 0% | 87 | $0.00 | |
| 90707 | 0% | 26 | $0.00 | |
| 90670 | 0% | 46 | $0.00 | |
| 90713 | 0% | 71 | $0.00 | |
| 90633 | 0% | 45 | $0.00 | |
| 90648 | 0% | 47 | $0.00 | |
| 90649 | 0% | 17 | $0.00 | |
| 90734 | 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 officialMCCULLOCH, CATRELL (CEO)