Physician
Pontchartrain Pediatrics LLC
Pontchartrain Pediatrics LLC was paid $11.31M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoPONTCHARTRAIN PEDIATRICS LLC
COVINGTON, LA 70433
COVINGTON, LA 70433
33aNPI1881727691assigned 03/13/2007
33bProvider typePediatrics Physician
28Total paid$11.31M
24GClaims462,462
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#9 of 230
Median peer was paid$429K
This provider vs. median26×
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 | 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 | |
| 2024incomplete | 63,386 | $1.30M |
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 | 20% | 51,270 | 46,898 | $2.24M |
| 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 | 16% | 25,890 | 23,874 | $1.76M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 9.4% | 14,362 | 13,008 | $1.06M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.1% | 30,467 | 28,118 | $801K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 11,112 | 10,481 | $726K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 10,695 | 10,221 | $689K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.3% | 8,660 | 8,171 | $602K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 10,273 | 9,045 | $596K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.9% | 10,639 | 9,106 | $443K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 31,929 | 29,330 | $419K |
| 87634 | 2.5% | 5,047 | 4,528 | $286K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.5% | 10,017 | 8,648 | $285K |
47 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 40,279 | $261K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 17,901 | $204K |
| 92551 | 1.7% | 26,176 | $196K | |
| 99051 | 1.1% | 5,266 | $120K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,444 | $96K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 1,594 | $96K |
| 81001 | <1% | 30,443 | $80K | |
| 87430 | <1% | 6,577 | $78K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 2,175 | $53K |
| 99173 | <1% | 26,512 | $47K | |
| 87428 | <1% | 1,203 | $41K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,193 | $33K |
| 90474 | <1% | 2,561 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,217 | $13K |
| 83655 | <1% | 1,089 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,142 | $11K |
| 99188 | <1% | 453 | $9K | |
| 90620 | <1% | 662 | $6K | |
| 83718 | <1% | 827 | $6K | |
| 99381 | <1% | 84 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 86 | $5K |
| 82465 | <1% | 829 | $3K | |
| 36416 | <1% | 43,116 | $3K | |
| 90651 | <1% | 922 | $2K | |
| 90686 | <1% | 6,321 | $2K | |
| 90619 | <1% | 582 | $930.36 | |
| 90670 | <1% | 4,425 | $645.98 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 163 | $632.40 |
| 90656 | <1% | 545 | $566.03 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 63 | $490.20 |
| 90715 | <1% | 143 | $253.57 | |
| 90671 | <1% | 1,498 | $248.87 | |
| 90734 | <1% | 489 | $224.58 | |
| 86308 | <1% | 26 | $94.76 | |
| 90698 | <1% | 3,207 | $75.00 | |
| 90680 | <1% | 2,612 | $62.50 | |
| 82947 | <1% | 14 | $46.92 | |
| 90633 | <1% | 1,878 | $2.88 | |
| 90647 | <1% | 27 | $0.01 | |
| 90685 | 0% | 498 | $0.00 | |
| 90710 | 0% | 949 | $0.00 | |
| 90700 | 0% | 39 | $0.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 15 | $0.00 |
| 90744 | 0% | 1,487 | $0.00 | |
| 99000 | 0% | 329 | $0.00 | |
| 90696 | 0% | 27 | $0.00 | |
| 94760 | 0% | 13 | $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 officialJONES, VICKIE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Next Step Developmental Learning, LLC | Fayetteville, NC | $1.48M |
| Bluestem Farms LLC | Midlothian, VA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.