Clinic
Cloud Pediatrics
Cloud Pediatrics was paid $883K by Medicaid between Aug 2019 and Jun 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoCLOUD PEDIATRICS
PINEVILLE, LA 71360
PINEVILLE, LA 71360
33aNPI1982168829assigned 01/24/2019
33bProvider typeRural Health Clinic/Center
28Total paid$883K
24GClaims43,566
24DCodes billed31
24AFirst – last monthAug 2019 – Jun 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Louisiana
Rank by total paid#121 of 160
Median peer was paid$2.26M
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 751 | $15K | |
| 2020 | 3,624 | $74K | |
| 2021 | 6,482 | $101K | |
| 2022 | 18,414 | $301K | |
| 2023 | 11,047 | $291K | |
| 2024incomplete | 3,248 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 77% | 13,595 | 5,934 | $679K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 10,200 | 4,646 | $115K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 1,927 | 997 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 1,701 | 962 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,386 | 900 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.0% | 1,900 | 1,107 | $9K |
| 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% | 335 | 196 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,581 | 889 | $4K |
| 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 | <1% | 2,845 | 1,903 | $3K |
| 92551 | <1% | 1,267 | 704 | $984.07 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 421 | 246 | $850.56 |
| 90473 | <1% | 255 | 177 | $750.96 |
19 more codes
| 85018 | <1% | 1,882 | $512.82 | |
| 99051 | <1% | 42 | $374.10 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 324 | $262.50 |
| 99173 | <1% | 1,379 | $250.00 | |
| 81002 | <1% | 747 | $224.06 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 59 | $220.50 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 115 | $156.22 |
| 94664 | <1% | 17 | $134.25 | |
| 94760 | <1% | 41 | $10.21 | |
| 83655 | <1% | 35 | $9.63 | |
| 90670 | 0% | 757 | $0.00 | |
| 90633 | 0% | 117 | $0.00 | |
| 90648 | 0% | 80 | $0.00 | |
| 90680 | 0% | 222 | $0.00 | |
| 90697 | 0% | 183 | $0.00 | |
| 90686 | 0% | 43 | $0.00 | |
| 90677 | 0% | 76 | $0.00 | |
| 90634 | 0% | 20 | $0.00 | |
| 90723 | 0% | 14 | $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 officialCLOUD, MANDIE (OWNER)