Managed care
Picayune Pediatrics LLC
Picayune Pediatrics LLC was paid $1.86M by Medicaid between Jan 2018 and Sep 2023, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoPICAYUNE PEDIATRICS LLC
CARRIERE, MS 39426
CARRIERE, MS 39426
33aNPI1891150629assigned 12/21/2015
33bProvider typePreferred Provider Organization
28Total paid$1.86M
24GClaims34,748
24DCodes billed31
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Preferred Provider Organization providers in Mississippi
Rank by total paid#5 of 7
Median peer was paid$3.42M
This provider vs. median0.5×
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 | 7,496 | $345K | |
| 2019 | 6,983 | $336K | |
| 2020 | 5,500 | $300K | |
| 2021 | 7,484 | $451K | |
| 2022 | 5,593 | $316K | |
| 2023 | 1,692 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 55% | 13,508 | 11,819 | $1.02M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 5,523 | 4,907 | $285K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 1,810 | 1,721 | $143K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 1,621 | 1,537 | $124K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 3,209 | 3,048 | $77K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 809 | 786 | $64K |
| 90670 | 2.4% | 1,594 | 1,519 | $45K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 440 | 425 | $39K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 432 | 416 | $14K |
| 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% | 172 | 163 | $13K |
| 99381 | <1% | 78 | 70 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 544 | 477 | $6K |
19 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 352 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 325 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 30 | $3K |
| 92551 | <1% | 433 | $3K | |
| 90647 | <1% | 618 | $2K | |
| 99384 | <1% | 12 | $1K | |
| 90715 | <1% | 91 | $1K | |
| 90658 | <1% | 149 | $1K | |
| 99383 | <1% | 18 | $1K | |
| 90710 | <1% | 643 | $672.00 | |
| 99173 | <1% | 181 | $400.56 | |
| 87400 | <1% | 38 | $242.90 | |
| 90696 | <1% | 120 | $141.00 | |
| 81002 | <1% | 29 | $78.24 | |
| 90698 | <1% | 67 | $49.60 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 336 | $41.01 |
| 90657 | <1% | 12 | $16.26 | |
| 90680 | 0% | 469 | $0.00 | |
| 90723 | 0% | 1,085 | $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 officialALEXANDER, BETTY (OWNER)