Physician
Jefferson Pediatric Clinic
Jefferson Pediatric Clinic was paid $4.37M by Medicaid between Jan 2018 and Feb 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoJEFFERSON PEDIATRIC CLINIC
MARRERO, LA 70072
MARRERO, LA 70072
33aNPI1972642197assigned 02/05/2007
33bProvider typePediatrics Physician
28Total paid$4.37M
24GClaims232,701
24DCodes billed57
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#36 of 230
Median peer was paid$429K
This provider vs. median10×
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 | 53,642 | $1.05M | |
| 2019 | 49,314 | $927K | |
| 2020 | 38,298 | $694K | |
| 2021 | 35,973 | $656K | |
| 2022 | 30,695 | $580K | |
| 2023 | 22,323 | $422K | |
| 2024incomplete | 2,456 | $39K |
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 | 21% | 19,172 | 15,676 | $926K |
| 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 | 11% | 6,519 | 5,945 | $471K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 16,544 | 14,792 | $464K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 5,858 | 5,498 | $398K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 6,333 | 4,834 | $383K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 3,873 | 3,829 | $269K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.2% | 2,344 | 2,227 | $226K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 2,814 | 2,767 | $214K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.4% | 13,561 | 13,262 | $194K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.4% | 20,803 | 18,227 | $151K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.1% | 6,790 | 6,677 | $136K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.6% | 2,026 | 1,933 | $70K |
45 more codes
| 92551 | 1.3% | 7,380 | $55K | |
| 94664 | 1.2% | 5,347 | $53K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.0% | 622 | $45K |
| 82962 | 1.0% | 17,646 | $44K | |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 20,814 | $44K |
| 81001 | <1% | 12,198 | $36K | |
| 83655 | <1% | 2,249 | $24K | |
| 99462 | <1% | 957 | $23K | |
| 90474 | <1% | 1,952 | $17K | |
| 82274 | <1% | 1,091 | $17K | |
| 99460 | <1% | 365 | $17K | |
| 17250 | <1% | 297 | $14K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 245 | $13K |
| 82947 | <1% | 3,105 | $12K | |
| 90620 | <1% | 393 | $12K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,539 | $11K |
| 99173 | <1% | 7,457 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 137 | $9K |
| 99381 | <1% | 29 | $2K | |
| 90686 | <1% | 6,281 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 174 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 134 | $2K |
| 90715 | <1% | 524 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 147 | $1K |
| 90651 | <1% | 729 | $796.82 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 5,613 | $725.59 |
| 90716 | <1% | 1,340 | $705.40 | |
| 90707 | <1% | 1,319 | $316.91 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 228 | $227.53 |
| 90734 | <1% | 470 | $133.90 | |
| 86308 | <1% | 13 | $61.80 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 124 | $40.79 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 133 | $0.36 |
| 90680 | 0% | 1,978 | $0.00 | |
| 90744 | 0% | 1,384 | $0.00 | |
| 99000 | 0% | 1,399 | $0.00 | |
| 90619 | 0% | 34 | $0.00 | |
| 90677 | 0% | 121 | $0.00 | |
| 3008F | 0% | 151 | $0.00 | |
| 90685 | 0% | 1,208 | $0.00 | |
| 90713 | 0% | 2,912 | $0.00 | |
| 90633 | 0% | 1,466 | $0.00 | |
| 90700 | 0% | 3,621 | $0.00 | |
| 90648 | 0% | 2,954 | $0.00 | |
| 90670 | 0% | 2,784 | $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 officialOUBRE, SCOTTY (OFFICE ASSISTANT)