Pedicons, INC.
Pedicons, INC. was paid $12.02M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoPEDICONS, INC.
DENHAM SPRINGS, LA 70726
DENHAM SPRINGS, LA 70726
33aNPI1295861128assigned 02/26/2007
33bProvider typeSpecialist
28Total paid$12.02M
24GClaims515,350
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Louisiana
Rank by total paid#3 of 228
Median peer was paid$60K
This provider vs. median201×
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 | 67,808 | $1.78M | |
| 2019 | 56,125 | $1.57M | |
| 2020 | 54,761 | $1.43M | |
| 2021 | 59,106 | $1.58M | |
| 2022 | 82,373 | $1.80M | |
| 2023 | 99,433 | $1.98M | |
| 2024incomplete | 95,744 | $1.90M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 56,825 | 49,415 | $3.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 60,899 | 48,968 | $2.15M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 15,160 | 13,960 | $962K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.9% | 44,362 | 39,271 | $952K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 13,711 | 12,066 | $844K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 11,877 | 10,934 | $835K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 10,702 | 9,010 | $567K |
| 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 | 3.7% | 5,850 | 4,822 | $441K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.2% | 24,174 | 21,820 | $385K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 28,815 | 25,839 | $373K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 13,133 | 10,244 | $322K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 3,594 | 3,187 | $189K |
57 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 20,627 | $157K |
| 92551 | 1.2% | 19,788 | $145K | |
| 99051 | 1.2% | 9,956 | $139K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 9,963 | $83K |
| 90473 | <1% | 7,964 | $71K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,069 | $65K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 7,949 | $51K |
| 83655 | <1% | 7,060 | $49K | |
| 99173 | <1% | 21,152 | $35K | |
| 87899 | <1% | 3,088 | $29K | |
| 87807 | <1% | 3,188 | $24K | |
| 85018 | <1% | 9,921 | $15K | |
| 99188 | <1% | 1,091 | $14K | |
| 96160 | <1% | 9,143 | $9K | |
| 17110 | <1% | 144 | $7K | |
| 96161 | <1% | 1,576 | $6K | |
| 96127 | <1% | 4,273 | $5K | |
| 0071A | <1% | 98 | $4K | |
| 81002 | <1% | 1,938 | $3K | |
| 81025 | <1% | 736 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 420 | $3K |
| 69210 | <1% | 158 | $2K | |
| 0072A | <1% | 52 | $2K | |
| 94664 | <1% | 260 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $2K |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 191 | $1K |
| 17250 | <1% | 14 | $520.75 | |
| 90686 | <1% | 5,385 | $20.53 | |
| 94761 | <1% | 15 | $3.51 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 7,696 | $0.04 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 7,689 | $0.04 |
| 80061 | Lipid panel | <1% | 1,015 | $0.01 |
| 90670 | 0% | 7,167 | $0.00 | |
| 90633 | 0% | 7,088 | $0.00 | |
| 90700 | 0% | 1,087 | $0.00 | |
| 90671 | 0% | 2,324 | $0.00 | |
| 90715 | 0% | 2,308 | $0.00 | |
| 90734 | 0% | 3,892 | $0.00 | |
| 90672 | 0% | 2,285 | $0.00 | |
| 90710 | 0% | 3,610 | $0.00 | |
| 90707 | 0% | 513 | $0.00 | |
| 91300 | 0% | 54 | $0.00 | |
| 90756 | 0% | 83 | $0.00 | |
| 90723 | 0% | 4,519 | $0.00 | |
| 90647 | 0% | 4,668 | $0.00 | |
| 90619 | 0% | 1,599 | $0.00 | |
| 90651 | 0% | 7,177 | $0.00 | |
| 90620 | 0% | 3,741 | $0.00 | |
| 90716 | 0% | 568 | $0.00 | |
| 90697 | 0% | 3,070 | $0.00 | |
| 90680 | 0% | 5,092 | $0.00 | |
| 90696 | 0% | 1,163 | $0.00 | |
| 94760 | 0% | 247 | $0.00 | |
| 90674 | 0% | 100 | $0.00 | |
| 90660 | 0% | 41 | $0.00 | |
| 91307 | 0% | 188 | $0.00 | |
| 90656 | 0% | 18 | $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 officialMAYO, BRIANA (DIRECTOR OF OPERATIONS)