Baton Rouge Clinic, a Medical Corporation

Baton Rouge Clinic, a Medical Corporation was paid $10.26M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 31% of everything it billed.

33Billing provider infoBATON ROUGE CLINIC, A MEDICAL CORPORATION
BATON ROUGE, LA 70808

33aNPI1871546911assigned 05/18/2006

33bProvider typePediatrics Physician

28Total paid$10.26M

24GClaims590,912

24DCodes billed112

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Louisiana

Rank by total paid#11 of 230

Median peer was paid$429K

This provider vs. median24×

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	1,837	$20K
2019	72,067	$919K
2020	99,152	$1.52M
2021	107,609	$1.93M
2022	103,911	$1.88M
2023	104,010	$2.04M
2024incomplete	102,326	$1.94M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	31%	133,486	43,071	$3.20M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	12%	34,022	16,174	$1.19M
99309	Subsequent nursing facility care, per day, low to moderate complexity	9.4%	120,545	60,333	$964K
99223	Prolong inpt eval add15 m	8.6%	14,798	12,868	$885K
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	7.3%	28,631	24,617	$745K
99308	Subsequent nursing facility care, per day, straightforward	7.0%	125,898	56,451	$719K
99239	Hospital discharge day management, more than 30 minutes	5.8%	16,927	14,771	$596K
90792	Psychiatric diagnostic evaluation with medical services	4.9%	9,998	8,001	$505K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.8%	18,694	15,665	$394K
99222	Initial hospital care, per day, moderate complexity	3.4%	7,397	6,375	$346K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.8%	16,381	6,854	$182K
99220		<1%	1,065	905	$49K

100 more codes

95819		<1%	808	$38K
99307		<1%	5,911	$32K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	6,145	$30K
99204	Doctor's office visit, new patient (more involved)	<1%	470	$30K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	743	$29K
80053	Comprehensive metabolic panel	<1%	4,415	$29K
99238	Hospital discharge day management, 30 minutes or less	<1%	1,162	$27K
83036	Hemoglobin; glycosylated (A1C)	<1%	4,006	$25K
80061	Lipid panel	<1%	3,020	$24K
99221		<1%	378	$18K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	832	$17K
36415	Collection of venous blood by venipuncture	<1%	14,034	$15K
99203	Doctor's office visit, new patient (routine)	<1%	647	$15K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,590	$13K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	503	$11K
90686		<1%	805	$11K
84443	Thyroid stimulating hormone (TSH)	<1%	1,251	$9K
80048	Basic metabolic panel (calcium, ionized)	<1%	1,452	$9K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	168	$8K
0001A		<1%	426	$8K
99348		<1%	449	$8K
0002A		<1%	403	$8K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	90	$7K
99051		<1%	337	$6K
99306	Prolong nursin fac eval 15m	<1%	352	$5K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	95	$5K
99407		<1%	446	$4K
90472	Immunization administration, each additional vaccine (list separately)	<1%	283	$3K
71046	Radiologic examination, chest; 2 views	<1%	773	$3K
90732		<1%	37	$3K
93000		<1%	269	$3K
0012A		<1%	134	$2K
99285	Emergency room visit (most serious)	<1%	30	$2K
0011A		<1%	151	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	210	$2K
80050	General health panel	<1%	82	$2K
99226		<1%	68	$2K
99283	Emergency room visit (moderate)	<1%	52	$1K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	83	$1K
82728		<1%	143	$1K
0003A		<1%	100	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	25	$1K
73630		<1%	472	$1K
99406		<1%	226	$1K
99349		<1%	19	$1K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	180	$1K
81001		<1%	473	$982.64
83550		<1%	151	$977.34
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	81	$964.60
99347		<1%	83	$958.98
0004A		<1%	67	$879.56
82043		<1%	186	$736.63
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	28	$707.40
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	42	$699.53
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	27	$679.33
82570		<1%	186	$657.46
83540		<1%	164	$648.42
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	27	$631.58
87634		<1%	122	$624.00
20610		<1%	26	$521.81
0072A		<1%	13	$402.99
0064A		<1%	38	$378.72
99310	Prolong nursin fac eval 15m	<1%	37	$350.63
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	530	$323.71
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	58	$315.04
95886		<1%	181	$283.28
99305		<1%	49	$279.72
96380		<1%	24	$262.48
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	14	$205.32
99318		<1%	129	$200.33
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	66	$186.87
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	18	$175.44
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	56	$141.79
81003		<1%	137	$139.75
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	41	$136.12
91300		<1%	563	$112.49
0124A		<1%	12	$110.34
11721		<1%	29	$108.70
90474		<1%	29	$73.04
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	71	$30.03
90656		<1%	420	$22.35
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	944	$15.75
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	47	$6.91
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	<1%	823	$4.79
90677		<1%	133	$0.02
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	485	$0.00
3044F		0%	474	$0.00
99217		0%	28	$0.00
90647		0%	56	$0.00
90723		0%	33	$0.00
G0008	Administration of influenza virus vaccine	0%	25	$0.00
91301		0%	170	$0.00
91307		0%	39	$0.00
99000		0%	24	$0.00
90461		0%	149	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	215	$0.00
99215	Doctor's office visit, returning patient (complex)	0%	23	$0.00
99072		0%	840	$0.00
96160		0%	95	$0.00
G1004	Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program	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 officialSILVEY, EDGAR (C.E.O.)