Clinic
Heartland Pediatrics LLC
Heartland Pediatrics LLC was paid $314K by Medicaid between Oct 2020 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoHEARTLAND PEDIATRICS LLC
PASS CHRISTIAN, MS 39571
PASS CHRISTIAN, MS 39571
33aNPI1437781010assigned 02/11/2020
33bProvider typePrimary Care Clinic/Center
28Total paid$314K
24GClaims7,215
24DCodes billed22
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Mississippi
Rank by total paid#26 of 85
Median peer was paid$100K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2020 | 412 | $18K | |
| 2021 | 2,899 | $116K | |
| 2022 | 2,082 | $86K | |
| 2023 | 1,472 | $70K | |
| 2024incomplete | 350 | $25K |
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 | 45% | 2,549 | 2,106 | $143K |
| 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 | 30% | 1,144 | 1,073 | $96K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.2% | 618 | 582 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.0% | 742 | 576 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 126 | 124 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 99 | 99 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 104 | 95 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 364 | 350 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 115 | 101 | $4K |
| 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 | 1.2% | 36 | 33 | $4K |
| 87807 | <1% | 268 | 254 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 344 | 335 | $2K |
10 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 254 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 115 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $976.48 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 19 | $238.01 |
| 90686 | <1% | 25 | $97.62 | |
| 90473 | <1% | 12 | $45.00 | |
| 96161 | <1% | 15 | $26.25 | |
| 90461 | 0% | 228 | $0.00 | |
| 90633 | 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 officialBLANCHETTE, ERIN (CPNP)