Clinic
Professional Pediatrics, LLC
Professional Pediatrics, LLC was paid $10.20M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoPROFESSIONAL PEDIATRICS, LLC
LEESVILLE, LA 71446
LEESVILLE, LA 71446
33aNPI1376717959assigned 04/15/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$10.20M
24GClaims398,981
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Louisiana
Rank by total paid#1 of 92
Median peer was paid$157K
This provider vs. median65×
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 | 45,182 | $1.14M | |
| 2019 | 42,589 | $980K | |
| 2020 | 79,527 | $1.11M | |
| 2021 | 65,306 | $1.68M | |
| 2022 | 61,186 | $1.84M | |
| 2023 | 58,633 | $1.84M | |
| 2024incomplete | 46,558 | $1.61M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 73% | 103,114 | 71,968 | $7.45M |
| 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 | 8.4% | 33,968 | 25,435 | $856K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 78,109 | 57,533 | $500K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 6,504 | 5,253 | $173K |
| 99051 | 1.6% | 14,116 | 10,611 | $163K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.2% | 539 | 188 | $126K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.2% | 2,246 | 1,732 | $124K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 5,135 | 3,965 | $115K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 4,568 | 3,727 | $105K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,601 | 6,936 | $81K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16,007 | 12,546 | $80K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,220 | 2,594 | $70K |
65 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 10,736 | $67K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,032 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,962 | $26K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 11,578 | $26K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 121 | $24K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 317 | $23K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 293 | $18K |
| 83655 | <1% | 3,801 | $15K | |
| 80305 | <1% | 2,106 | $12K | |
| 92551 | <1% | 7,108 | $12K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,782 | $11K |
| 90474 | <1% | 2,126 | $10K | |
| 87807 | <1% | 1,063 | $9K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,898 | $9K |
| 99188 | <1% | 460 | $8K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,647 | $8K |
| 81002 | <1% | 7,052 | $4K | |
| 99499 | <1% | 403 | $4K | |
| 99173 | <1% | 10,978 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 408 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 8,012 | $3K |
| 94060 | <1% | 91 | $3K | |
| 90473 | <1% | 548 | $3K | |
| 90647 | <1% | 2,109 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,276 | $2K |
| 90672 | <1% | 715 | $1K | |
| 81025 | <1% | 982 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,638 | $1K |
| 94016 | <1% | 91 | $1K | |
| 95115 | <1% | 231 | $1K | |
| 86318 | <1% | 135 | $1K | |
| 99381 | <1% | 113 | $1K | |
| 85018 | <1% | 769 | $1K | |
| 99201 | <1% | 26 | $728.18 | |
| 86308 | <1% | 210 | $468.65 | |
| 90620 | <1% | 196 | $250.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,733 | $224.23 |
| 90734 | <1% | 1,586 | $221.25 | |
| 90670 | <1% | 4,531 | $214.62 | |
| 90633 | <1% | 3,189 | $115.03 | |
| H2020 | Therapeutic behavioral services, per diem | <1% | 33 | $107.34 |
| 94010 | <1% | 102 | $101.80 | |
| 90686 | <1% | 2,089 | $77.62 | |
| 90715 | <1% | 683 | $30.95 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,497 | $10.00 |
| 90651 | <1% | 1,457 | $0.71 | |
| 90648 | 0% | 232 | $0.00 | |
| 90707 | 0% | 2,253 | $0.00 | |
| 90700 | 0% | 681 | $0.00 | |
| 90681 | 0% | 1,412 | $0.00 | |
| 90713 | 0% | 19 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 18 | $0.00 |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | 0% | 1,371 | $0.00 |
| 90716 | 0% | 2,263 | $0.00 | |
| 90698 | 0% | 772 | $0.00 | |
| 90723 | 0% | 2,400 | $0.00 | |
| 90696 | 0% | 786 | $0.00 | |
| 90697 | 0% | 194 | $0.00 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 357 | $0.00 |
| 90688 | 0% | 133 | $0.00 | |
| 90680 | 0% | 712 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 99 | $0.00 |
| 90677 | 0% | 177 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 35 | $0.00 |
| 90744 | 0% | 27 | $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 officialCROWE, ROBERT (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Sabine Urgent Care, LLC | Many, LA | $2.54M |
| Sabine Urgent II, LLC | Leesville, LA | $835K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.