Abc Pediatrics
Abc Pediatrics was paid $1.79M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoABC PEDIATRICS
MINDEN, LA 71055
MINDEN, LA 71055
33aNPI1285080358assigned 05/09/2016
33bProvider typeSpecialist
28Total paid$1.79M
24GClaims82,612
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Louisiana
Rank by total paid#24 of 228
Median peer was paid$60K
This provider vs. median30×
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 | 14,439 | $355K | |
| 2019 | 14,353 | $332K | |
| 2020 | 12,704 | $277K | |
| 2021 | 11,921 | $244K | |
| 2022 | 12,282 | $240K | |
| 2023 | 12,484 | $238K | |
| 2024incomplete | 4,429 | $102K |
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 | 41% | 17,582 | 14,555 | $741K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 4,625 | 4,039 | $257K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 3,931 | 3,549 | $242K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.0% | 6,858 | 5,898 | $161K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.0% | 6,119 | 5,377 | $107K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 1,431 | 1,225 | $81K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.9% | 5,579 | 4,939 | $70K |
| 90473 | 1.3% | 2,573 | 2,309 | $23K | |
| 99381 | 1.0% | 277 | 253 | $19K | |
| 92551 | <1% | 2,441 | 2,084 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,239 | 989 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 173 | 156 | $11K |
39 more codes
| 99460 | <1% | 197 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 119 | $8K |
| 85018 | <1% | 4,601 | $6K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 88 | $5K |
| 81002 | <1% | 3,778 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 384 | $4K |
| 99173 | <1% | 3,005 | $3K | |
| 87807 | <1% | 304 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 317 | $2K |
| 99050 | <1% | 107 | $2K | |
| 94644 | <1% | 54 | $1K | |
| 0071A | <1% | 24 | $851.50 | |
| 0072A | <1% | 17 | $800.26 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $751.80 |
| 99499 | <1% | 51 | $645.00 | |
| 99462 | <1% | 14 | $349.72 | |
| 90647 | <1% | 1,961 | $0.02 | |
| 90633 | <1% | 1,784 | $0.01 | |
| 90651 | <1% | 175 | $0.01 | |
| 90710 | 0% | 1,237 | $0.00 | |
| 90700 | 0% | 1,220 | $0.00 | |
| 90670 | 0% | 3,876 | $0.00 | |
| 90734 | 0% | 92 | $0.00 | |
| 90658 | 0% | 64 | $0.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 119 | $0.00 |
| 90707 | 0% | 42 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 90696 | 0% | 161 | $0.00 | |
| 90680 | 0% | 2,535 | $0.00 | |
| 90744 | 0% | 113 | $0.00 | |
| 90723 | 0% | 1,202 | $0.00 | |
| 90698 | 0% | 875 | $0.00 | |
| 90674 | 0% | 953 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 90697 | 0% | 19 | $0.00 | |
| 90716 | 0% | 43 | $0.00 | |
| 90686 | 0% | 78 | $0.00 | |
| 91307 | 0% | 52 | $0.00 | |
| 90677 | 0% | 82 | $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 officialKIRBY, CRISTAL (OWNER)