Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Childrens Hospital Medical Practice Corporation

Childrens Hospital Medical Practice Corporation was paid $33.10M by Medicaid between Jan 2018 and Dec 2024, across 190 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoCHILDRENS HOSPITAL MEDICAL PRACTICE CORPORATION
NEW ORLEANS, LA 70118
33aNPI1821090713assigned 08/11/2005
28Total paid$33.10M
24GClaims1,496,574
24DCodes billed190
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Nurse Practitioner providers in Louisiana

Rank by total paid#1 of 22
Median peer was paid$83K
This provider vs. median399×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
201881,647$3.29M
2019105,912$4.57M
202076,316$3.68M
202197,905$4.54M
2022120,593$5.44M
2023432,822$6.06M
2024incomplete581,379$5.53M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 217,041 193,243 $9.26M
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 20% 106,997 95,641 $6.59M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10.0% 51,346 47,605 $3.30M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.4% 54,512 48,986 $3.13M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.8% 29,761 27,892 $1.93M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.1% 52,066 46,758 $1.36M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.7% 17,615 16,301 $1.24M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.1% 18,426 6,772 $695K
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 1.8% 7,196 6,335 $586K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.5% 9,113 8,407 $513K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.2% 7,146 2,455 $390K
99238 Hospital discharge day management, 30 minutes or less <1% 6,303 5,743 $295K
178 more codes
99215 Doctor's office visit, returning patient (complex) <1% 3,922 $279K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,774 $261K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 1,056 $224K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 17,320 $215K
99460 <1% 4,660 $194K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,132 $165K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 2,372 $145K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 793 $136K
99222 Initial hospital care, per day, moderate complexity <1% 1,716 $131K
90472 Immunization administration, each additional vaccine (list separately) <1% 9,295 $126K
99205 Prolong outpt/office vis <1% 1,223 $122K
93304 <1% 2,830 $113K
93325 <1% 7,416 $106K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,283 $93K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 13,360 $91K
95782 <1% 392 $85K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 4,118 $81K
90834 Psychotherapy session, about 45 minutes <1% 1,861 $75K
90792 Psychiatric diagnostic evaluation with medical services <1% 999 $68K
99173 <1% 37,556 $59K
93320 <1% 2,481 $54K
95720 <1% 390 $53K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 313 $45K
99223 Prolong inpt eval add15 m <1% 418 $43K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 6,258 $41K
93321 <1% 4,164 $40K
99051 <1% 4,183 $38K
D1120 Dental cleaning, child <1% 1,075 $35K
95951 <1% 205 $31K
93308 <1% 1,115 $30K
54150 <1% 324 $30K
99221 <1% 565 $26K
D0150 Comprehensive oral evaluation - new or established patient <1% 522 $24K
99471 <1% 51 $24K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 121 $24K
99239 Hospital discharge day management, more than 30 minutes <1% 518 $23K
90832 Psychotherapy session, about 30 minutes <1% 731 $21K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 60 $20K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 106 $20K
D0120 Dental checkup, returning patient <1% 608 $20K
90791 Psychiatric diagnostic evaluation <1% 308 $18K
95816 <1% 328 $18K
92551 <1% 2,452 $18K
96161 <1% 5,555 $18K
99480 Subsequent intensive care, per day, low birth weight infant <1% 197 $16K
D0140 Limited oral evaluation - problem focused <1% 1,125 $16K
93000 <1% 1,044 $15K
99381 <1% 361 $15K
90837 Psychotherapy session, about an hour <1% 253 $14K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 181 $14K
D1208 Topical application of fluoride, excluding varnish <1% 917 $14K
95819 <1% 246 $13K
99462 <1% 594 $13K
D1206 Topical application of fluoride varnish <1% 431 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,682 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 595 $12K
D7140 Extraction, erupted tooth or exposed root <1% 139 $11K
99417 Prolong home eval add 15m <1% 822 $10K
99172 <1% 478 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 186 $9K
99383 <1% 110 $8K
31526 <1% 111 $8K
69210 <1% 339 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,437 $8K
D1110 Prophylaxis - adult <1% 145 $7K
94060 <1% 471 $6K
99225 <1% 251 $6K
D0272 Bitewings - two radiographic images <1% 261 $6K
94010 <1% 748 $5K
76825 <1% 131 $5K
99284 Emergency room visit (serious) <1% 101 $5K
D9420 <1% 56 $5K
90474 <1% 598 $5K
93356 <1% 150 $4K
D0220 Intraoral - periapical first radiographic image <1% 255 $4K
97802 <1% 212 $4K
99382 <1% 68 $4K
54161 <1% 26 $4K
29705 <1% 152 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 269 $3K
99220 <1% 27 $3K
76827 <1% 131 $3K
87634 <1% 68 $2K
96131 <1% 58 $2K
96156 <1% 213 $2K
96112 <1% 83 $2K
99384 <1% 25 $2K
90473 <1% 210 $2K
96130 <1% 99 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 99 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 26 $2K
D0330 Panoramic radiographic image <1% 28 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 80 $1K
76820 <1% 76 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 94 $1K
99201 <1% 58 $1K
99219 <1% 13 $1K
97803 <1% 103 $957.53
96137 <1% 96 $949.26
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 27 $845.24
96136 <1% 96 $814.84
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 144 $717.48
99235 <1% 15 $692.58
83655 <1% 101 $676.31
95012 <1% 168 $654.03
87807 <1% 114 $609.96
29075 <1% 12 $563.94
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 64 $407.27
90785 <1% 140 $316.25
G0444 Annual depression screening, 5 to 15 minutes <1% 65 $290.29
96127 <1% 416 $281.74
96138 <1% 71 $278.40
81003 <1% 223 $243.74
87081 <1% 31 $204.29
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 15 $195.27
85018 <1% 154 $180.60
86308 <1% 53 $172.54
90734 <1% 665 $147.74
80061 Lipid panel <1% 15 $130.68
1160F <1% 148,948 $124.26
S9470 Nutritional counseling, dietitian visit <1% 22 $41.13
90686 <1% 2,569 $38.06
96160 <1% 538 $32.37
1033F <1% 79,075 $25.83
82962 <1% 14 $24.30
88738 <1% 27 $13.72
1159F <1% 146,712 $12.14
90674 <1% 66 $10.50
94760 <1% 107 $6.57
1126F <1% 62,068 $2.00
1031F <1% 49,474 $2.00
3078F <1% 73,152 $0.25
3028F <1% 1,951 $0.20
99499 <1% 32 $0.01
90651 <1% 1,608 $0.01
90619 <1% 930 $0.01
1032F 0% 2,725 $0.00
90633 0% 709 $0.00
92504 0% 43 $0.00
90707 0% 26 $0.00
90670 0% 2,125 $0.00
90710 0% 295 $0.00
3046F 0% 17 $0.00
90685 0% 516 $0.00
90715 0% 921 $0.00
S9441 Asthma education, non-physician provider, per session 0% 12 $0.00
3210F 0% 239 $0.00
90672 0% 72 $0.00
90700 0% 24 $0.00
99354 0% 19 $0.00
1125F 0% 16,098 $0.00
3008F 0% 74,707 $0.00
3079F 0% 1,253 $0.00
3074F 0% 75,364 $0.00
90698 0% 1,155 $0.00
90656 0% 92 $0.00
3351F 0% 2,496 $0.00
90744 0% 301 $0.00
90680 0% 903 $0.00
3044F 0% 1,089 $0.00
1036F 0% 166 $0.00
90677 0% 190 $0.00
90647 0% 25 $0.00
3075F 0% 108 $0.00
3048F 0% 240 $0.00
4010F 0% 14 $0.00
90696 0% 130 $0.00
99000 0% 107 $0.00
4000F 0% 34 $0.00
90743 0% 32 $0.00
99174 0% 30 $0.00
A9150 Non-prescription drugs 0% 31 $0.00
87428 0% 37 $0.00
90697 0% 62 $0.00
90716 0% 26 $0.00
90723 0% 44 $0.00
3352F 0% 17 $0.00
3049F 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 officialLABORDE, NICOLE (DIRECTOR)
Parent organizationLOUISIANA CHILDREN'S MEDICAL CENTER