NP / PA
Rosales Children's Clinic
Rosales Children's Clinic was paid $2.08M by Medicaid between Jan 2018 and Jul 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoROSALES CHILDREN'S CLINIC
WEST MONROE, LA 71291
WEST MONROE, LA 71291
33aNPI1952519639assigned 05/18/2007
33bProvider typePediatric Nurse Practitioner
28Total paid$2.08M
24GClaims66,994
24DCodes billed34
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Louisiana
Rank by total paid#3 of 22
Median peer was paid$83K
This provider vs. median25×
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 | 10,375 | $322K | |
| 2019 | 8,775 | $308K | |
| 2020 | 5,904 | $229K | |
| 2021 | 9,490 | $316K | |
| 2022 | 12,083 | $355K | |
| 2023 | 13,456 | $354K | |
| 2024incomplete | 6,911 | $196K |
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 | 48% | 21,083 | 16,553 | $989K |
| 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 | 17% | 4,904 | 4,458 | $347K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 2,795 | 2,656 | $169K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 6.1% | 1,547 | 1,424 | $127K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 1,416 | 1,373 | $98K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 3,777 | 3,522 | $47K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 5,499 | 4,796 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 551 | 542 | $39K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 4,473 | 3,611 | $36K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.7% | 736 | 685 | $34K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 779 | 729 | $28K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 2,292 | 1,071 | $28K |
22 more codes
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.0% | 203 | $21K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 387 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,130 | $16K |
| 87807 | <1% | 1,020 | $13K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 924 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 915 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 73 | $6K |
| 87631 | <1% | 20 | $3K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 3,748 | $2K |
| 86308 | <1% | 277 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $384.29 |
| 81003 | <1% | 141 | $290.10 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 710 | $36.19 |
| 36416 | <1% | 5,641 | $10.12 | |
| 90697 | 0% | 471 | $0.00 | |
| 90680 | 0% | 414 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 90670 | 0% | 365 | $0.00 | |
| 90633 | 0% | 118 | $0.00 | |
| 90473 | 0% | 205 | $0.00 | |
| 90671 | 0% | 274 | $0.00 | |
| 90710 | 0% | 81 | $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 officialSHOWS, KIMBERLI (OFFICE MANAGER)