Physician
Pediatric Health Associates, L.L.C.
Pediatric Health Associates, L.L.C. was paid $155K by Medicaid between Jan 2018 and Aug 2019, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoPEDIATRIC HEALTH ASSOCIATES, L.L.C.
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
33aNPI1629105416assigned 02/27/2007
33bProvider typePediatrics Physician
28Total paid$155K
24GClaims4,616
24DCodes billed22
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#148 of 230
Median peer was paid$429K
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 | 3,291 | $109K | |
| 2019 | 1,325 | $46K |
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% | 880 | 800 | $41K |
| 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 | 15% | 316 | 305 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 297 | 296 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 300 | 298 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.3% | 167 | 167 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 189 | 188 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.3% | 686 | 675 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 248 | 241 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.9% | 362 | 360 | $6K |
| 99173 | <1% | 629 | 617 | $979.07 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 44 | 41 | $420.84 |
| 85018 | <1% | 91 | 90 | $212.40 |
10 more codes
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 43 | $68.25 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 43 | $26.40 |
| 90620 | 0% | 36 | $0.00 | |
| 90686 | 0% | 56 | $0.00 | |
| 90670 | 0% | 105 | $0.00 | |
| 90648 | 0% | 37 | $0.00 | |
| 90633 | 0% | 28 | $0.00 | |
| 90649 | 0% | 15 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 29 | $0.00 |
| 90734 | 0% | 15 | $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 officialHEDGEMON, HELEN (OWNER)