Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PONTCHARTRAIN PEDIATRICS LLC

NPI: 1881727691 · COVINGTON, LA 70433 · Pediatrics Physician · NPI assigned 03/13/2007

$11.31M
Total Medicaid Paid
462,462
Total Claims
417,937
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, VICKIE (OFFICE MANAGER)
NPI Enumeration Date03/13/2007

Related Entities

Other providers sharing the same authorized official: JONES, VICKIE

ProviderCityStateTotal Paid
NEXT STEP DEVELOPMENTAL LEARNING, LLC FAYETTEVILLE NC $1.48M
BLUESTEM FARMS LLC MIDLOTHIAN VA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75,025 $1.75M
2019 71,714 $1.87M
2020 51,247 $1.20M
2021 65,919 $1.73M
2022 68,983 $1.86M
2023 66,188 $1.61M
2024 63,386 $1.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,270 46,898 $2.24M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,890 23,874 $1.76M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 14,362 13,008 $1.06M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30,467 28,118 $801K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,112 10,481 $726K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,695 10,221 $689K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8,660 8,171 $602K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,273 9,045 $596K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 10,639 9,106 $443K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31,929 29,330 $419K
87634 5,047 4,528 $286K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 10,017 8,648 $285K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 40,279 35,930 $261K
90472 Immunization administration, each additional vaccine (list separately) 17,901 16,896 $204K
92551 26,176 24,750 $196K
99051 5,266 5,043 $120K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,444 2,800 $96K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,594 1,502 $96K
81001 30,443 27,142 $80K
87430 6,577 6,317 $78K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,175 1,805 $53K
99173 26,512 24,660 $47K
87428 1,203 899 $41K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,193 1,495 $33K
90474 2,561 2,300 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,217 948 $13K
83655 1,089 1,011 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,142 922 $11K
99188 453 375 $9K
90620 662 613 $6K
83718 827 757 $6K
99381 84 76 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 86 74 $5K
82465 829 757 $3K
36416 43,116 35,502 $3K
90651 922 872 $2K
90686 6,321 5,930 $2K
90619 582 525 $930.36
90670 4,425 4,119 $645.98
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 163 158 $632.40
90656 545 425 $566.03
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 63 62 $490.20
90715 143 129 $253.57
90671 1,498 1,203 $248.87
90734 489 471 $224.58
86308 26 25 $94.76
90698 3,207 2,915 $75.00
90680 2,612 2,318 $62.50
82947 14 12 $46.92
90633 1,878 1,758 $2.88
90647 27 26 $0.01
90685 498 460 $0.00
90710 949 857 $0.00
90700 39 38 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 15 14 $0.00
90744 1,487 1,316 $0.00
99000 329 264 $0.00
90696 27 26 $0.00
94760 13 12 $0.00