Pediatric Associates
Pediatric Associates was paid $10.74M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES
PLAQUEMINE, LA 70764
PLAQUEMINE, LA 70764
33aNPI1639257215assigned 11/01/2006
33bProvider typeSpecialist
28Total paid$10.74M
24GClaims535,067
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Louisiana
Rank by total paid#4 of 228
Median peer was paid$60K
This provider vs. median180×
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 | 72,419 | $1.59M | |
| 2019 | 73,991 | $1.63M | |
| 2020 | 70,732 | $1.39M | |
| 2021 | 79,477 | $1.70M | |
| 2022 | 74,615 | $1.56M | |
| 2023 | 90,051 | $1.51M | |
| 2024incomplete | 73,782 | $1.35M |
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 | 25% | 61,589 | 58,055 | $2.68M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 19% | 76,433 | 64,004 | $2.06M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 16,130 | 15,069 | $1.04M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 12,011 | 11,064 | $844K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 12,839 | 11,957 | $840K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 10,510 | 9,750 | $624K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 34,128 | 30,616 | $436K |
| 99188 | 2.5% | 12,445 | 11,466 | $265K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 24,673 | 21,143 | $261K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 18,970 | 17,011 | $224K |
| 92551 | 1.7% | 24,935 | 23,149 | $184K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.6% | 5,509 | 4,678 | $170K |
70 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 1.1% | 12,252 | $118K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 10,560 | $112K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,400 | $92K |
| 99050 | <1% | 8,308 | $89K | |
| 99051 | <1% | 6,396 | $81K | |
| 83655 | <1% | 6,002 | $57K | |
| 90474 | <1% | 6,381 | $52K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 760 | $51K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,127 | $44K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,656 | $36K |
| 69210 | <1% | 1,516 | $35K | |
| 85013 | <1% | 15,465 | $32K | |
| 99460 | <1% | 822 | $31K | |
| 90620 | <1% | 4,243 | $31K | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 2,369 | $24K |
| 90473 | <1% | 2,414 | $21K | |
| 81003 | <1% | 10,443 | $19K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 334 | $19K |
| 99173 | <1% | 22,632 | $19K | |
| 99462 | <1% | 883 | $19K | |
| 90677 | <1% | 1,283 | $16K | |
| 0001A | <1% | 1,429 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,497 | $10K |
| 0002A | <1% | 1,028 | $10K | |
| 99401 | <1% | 1,597 | $10K | |
| 90647 | <1% | 2,711 | $9K | |
| 87807 | <1% | 708 | $8K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13,887 | $7K |
| H0033 | Oral medication administration, direct observation | <1% | 819 | $6K |
| 0074A | <1% | 538 | $5K | |
| 90671 | <1% | 1,405 | $5K | |
| 94664 | <1% | 2,823 | $3K | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 4,124 | $3K |
| 96160 | <1% | 3,306 | $3K | |
| 90672 | <1% | 2,500 | $2K | |
| 0003A | <1% | 55 | $2K | |
| 96380 | <1% | 109 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 824 | $1K |
| 90661 | <1% | 1,252 | $1K | |
| 69209 | <1% | 134 | $1K | |
| 90670 | <1% | 6,488 | $684.96 | |
| 90619 | <1% | 1,680 | $435.72 | |
| 90674 | <1% | 2,351 | $374.40 | |
| 90688 | <1% | 7,209 | $294.92 | |
| 90680 | <1% | 6,338 | $294.12 | |
| 99441 | <1% | 45 | $253.96 | |
| 90734 | <1% | 3,074 | $133.90 | |
| 90715 | <1% | 2,081 | $108.53 | |
| 90698 | <1% | 1,476 | $108.07 | |
| 99421 | <1% | 58 | $100.00 | |
| 90710 | <1% | 4,734 | $90.61 | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 409 | $79.46 |
| 90697 | <1% | 2,908 | $75.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 171 | $67.09 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 28 | $36.82 |
| 90633 | <1% | 5,064 | $22.59 | |
| 99000 | <1% | 3,076 | $12.50 | |
| 90651 | <1% | 4,794 | $6.58 | |
| 90381 | <1% | 115 | $0.13 | |
| 90380 | <1% | 65 | $0.05 | |
| 91300 | <1% | 3,499 | $0.02 | |
| 90700 | 0% | 178 | $0.00 | |
| 90685 | 0% | 30 | $0.00 | |
| 90707 | 0% | 16 | $0.00 | |
| 90713 | 0% | 36 | $0.00 | |
| 90696 | 0% | 1,662 | $0.00 | |
| 90723 | 0% | 3,806 | $0.00 | |
| 90660 | 0% | 475 | $0.00 | |
| 90686 | 0% | 21 | $0.00 | |
| 90716 | 0% | 16 | $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 officialELKINS, KATHRYN (PEDIATRICIAN)