Lighthouse Pediatric & After Hours Clinic, PA

Lighthouse Pediatric & After Hours Clinic, PA was paid $559K by Medicaid between Jan 2018 and Aug 2022, across 26 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 23% of everything it billed.

33Billing provider infoLIGHTHOUSE PEDIATRIC & AFTER HOURS CLINIC, PA
CLINTON, MS 39056

33aNPI1881945475assigned 09/24/2012

33bProvider typePediatrics Physician

28Total paid$559K

24GClaims16,451

24DCodes billed26

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Pediatrics Physician providers in Mississippi

Rank by total paid#37 of 86

Median peer was paid$221K

This provider vs. median2.5×

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	5,200	$178K
2019	4,705	$167K
2020	3,467	$111K
2021	2,455	$79K
2022	624	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	23%	1,425	1,389	$129K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	16%	1,015	995	$87K
90460	Immunization administration through 18 years of age via any route, first or only component	14%	2,036	1,987	$80K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	976	915	$60K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	10%	1,495	1,447	$56K
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	8.3%	529	488	$46K
D0145	Oral evaluation for a patient under three years of age	5.5%	871	850	$31K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.0%	293	293	$28K
90461		3.0%	1,516	1,481	$17K
92552		2.6%	590	586	$14K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.3%	875	762	$7K
99173		<1%	763	756	$1K

14 more codes

83655		<1%	97	$817.86
D1206	Topical application of fluoride varnish	<1%	17	$460.94
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	36	$239.40
85018		<1%	15	$17.58
90670		<1%	1,010	$0.83
90647		<1%	651	$0.50
90686		<1%	190	$0.48
90688		<1%	25	$0.12
90716		<1%	177	$0.09
90707		<1%	177	$0.09
90633		<1%	272	$0.07
90680		<1%	674	$0.01
90723		<1%	711	$0.01
90685		0%	15	$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 officialSIMS, TAMMY (CEO)

Same official

Other billing entities under SIMS, TAMMY

Full network →

Provider	Location	Paid
Jesc LLC	Jasper, IN	$132K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.