Physician
Pediatric Clinic of ST Mary Parish Apmc
Pediatric Clinic of ST Mary Parish Apmc was paid $8.84M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoPEDIATRIC CLINIC OF ST MARY PARISH APMC
MORGAN CITY, LA 70380
MORGAN CITY, LA 70380
33aNPI1679569560assigned 09/26/2005
33bProvider typePediatrics Physician
28Total paid$8.84M
24GClaims333,325
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#14 of 230
Median peer was paid$429K
This provider vs. median21×
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 | 44,891 | $1.23M | |
| 2019 | 46,129 | $1.19M | |
| 2020 | 43,220 | $943K | |
| 2021 | 45,697 | $1.16M | |
| 2022 | 53,329 | $1.49M | |
| 2023 | 54,062 | $1.46M | |
| 2024incomplete | 45,997 | $1.36M |
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 | 41% | 89,227 | 78,480 | $3.63M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 10,894 | 10,243 | $713K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 7.6% | 8,514 | 6,367 | $673K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 8,771 | 8,398 | $571K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 9,701 | 8,806 | $552K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 7,530 | 7,097 | $522K |
| 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 | 5.5% | 7,993 | 7,281 | $489K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 16,625 | 15,166 | $405K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 24,302 | 23,182 | $333K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.3% | 35,140 | 25,877 | $294K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.5% | 15,857 | 15,198 | $221K |
| 92551 | 1.6% | 18,626 | 17,692 | $138K |
56 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,834 | $51K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,162 | $47K |
| 90474 | <1% | 4,489 | $37K | |
| 99173 | <1% | 19,636 | $34K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 483 | $27K |
| 96161 | <1% | 3,766 | $21K | |
| 87807 | <1% | 2,277 | $17K | |
| 99051 | <1% | 985 | $14K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 171 | $7K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 648 | $7K |
| 99460 | <1% | 127 | $5K | |
| 0002A | <1% | 120 | $4K | |
| 0071A | <1% | 106 | $4K | |
| 0072A | <1% | 98 | $4K | |
| 0001A | <1% | 100 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 205 | $3K |
| 95117 | <1% | 231 | $2K | |
| 94664 | <1% | 191 | $2K | |
| 99381 | <1% | 30 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 664 | $1K |
| 90651 | <1% | 1,427 | $864.38 | |
| 90670 | <1% | 5,414 | $435.68 | |
| 99462 | <1% | 21 | $425.41 | |
| 81003 | <1% | 255 | $374.87 | |
| 83655 | <1% | 38 | $356.31 | |
| 90686 | <1% | 3,933 | $326.00 | |
| 90621 | <1% | 151 | $248.62 | |
| 85018 | <1% | 127 | $230.58 | |
| 99499 | <1% | 14 | $162.00 | |
| 90734 | <1% | 998 | $133.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $91.09 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 137 | $33.37 |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 16 | $18.46 |
| 90671 | <1% | 2,579 | $0.24 | |
| 90633 | <1% | 4,106 | $0.06 | |
| 90680 | 0% | 3,897 | $0.00 | |
| 90620 | 0% | 341 | $0.00 | |
| 90698 | 0% | 4,014 | $0.00 | |
| 90744 | 0% | 1,811 | $0.00 | |
| 90696 | 0% | 274 | $0.00 | |
| 90697 | 0% | 2,382 | $0.00 | |
| 90716 | 0% | 268 | $0.00 | |
| 90619 | 0% | 272 | $0.00 | |
| 91307 | 0% | 255 | $0.00 | |
| 90656 | 0% | 40 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 90648 | 0% | 85 | $0.00 | |
| 90710 | 0% | 331 | $0.00 | |
| 90685 | 0% | 413 | $0.00 | |
| 90715 | 0% | 255 | $0.00 | |
| 90681 | 0% | 319 | $0.00 | |
| 90707 | 0% | 252 | $0.00 | |
| 90700 | 0% | 85 | $0.00 | |
| 91300 | 0% | 218 | $0.00 | |
| 90672 | 0% | 49 | $0.00 | |
| 90380 | 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 officialTHORGUSON, KIMBERLY (PRESIDENT)