Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Louisiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Children's International L.L.C. (NPI 1073620498)

Key Findings

Field	Value
Entity Type	Organization
Organization	Children's International L.L.C.
Address	1430 Lindberg Dr
City	Slidell
State	LA
ZIP	70458
Taxonomy	Pediatrics Physician
NPI Enumerated	August 23, 2006

Payer Source	Total Paid
Medicaid	$30.9M
Medicare	$0

CHILDREN'S INTERNATIONAL L.L.C. is effectively a single‑payer Medicaid practice: there is no Medicare billing on file and lifetime Medicaid revenue on file is $30.9M, indicating the provider’s clinical and business activity is concentrated in the Medicaid population rather than Medicare. This payer mix means Medicaid policy and rate changes will disproportionately affect their revenue stream.

Revenue is highly concentrated in a small set of outpatient E/M and preventive codes: the precomputed top 3 Medicaid codes (99213, 99214, 99392) account for 62.1% of the provider’s total Medicaid revenue, with 99213 reporting $9.5M (31.2%), 99214 $6.8M (22.4%), and 99392 $2.6M (8.4%). This concentration shows most dollars flow from routine established‑patient visits and periodic preventive care.

The code mix reflects a high‑volume pediatric primary care operation focused on established office visits and well‑child care: top E/M codes 99213 and 99214 plus preventive visit codes 99391/99392/99393 dominate the ledger. High volumes of vaccine administration (90471: 101K claims, $1.3M revenue; 90472: 65.8K claims, $921.7K revenue) and developmental/vision/hearing screenings (96110, 99173, 92552) further indicate in‑clinic immunization programs and systematic preventive screening workflows integral to daily operations.

On competitive standing within Louisiana the practice is an outlier and a major statewide volume player for core pediatric services: 99213 ranks #10 of 3226 providers (100th percentile, extreme outlier), 99214 ranks #16 of 2894 (99th percentile, extreme outlier), and 99392 ranks #5 of 415 (99th percentile, extreme outlier). Multiple additional codes (for example 90471, 90472, 99391, 99393, 99173, 83655) also sit in the 99–100th percentile or are labeled extreme outliers, signaling consistent above‑typical volume across preventive and procedure codes.

Operationally, the practice’s large procedural and test volumes imply significant front‑line capacity and logistics: examples include 101K claims for 90471 (vaccination administration) and 48.4K claims for 87804 (influenza testing), plus 22.5K claims for 87811 (SARS–CoV‑2 antigen testing). Such volumes suggest substantial nursing/MA throughput, inventory and reporting processes for vaccines and point‑of‑care tests, and likely established visit templates that emphasize immunizations and rapid diagnostics.

The provider has an established presence, with an NPI enumerated on 2006‑08‑23 (~20 years ago), which supports interpretation of the volume profile as the result of a sustained pediatric practice rather than a short‑term spike. Tenure at this scale combined with extreme percentile rankings points to a mature operation with entrenched referral or panel patterns.

The practice’s heavy dependence on a few high‑revenue codes (top 3 = 62.1% of Medicaid revenue) creates sensitivity to coding, reimbursement, or policy shifts for routine E/M and preventive services; payers should treat utilization as concentrated and prioritize benchmarking these codes. Given the repeated characterization of many codes as "extreme outlier" or "notably above typical," routine utilization review and comparative benchmarking against peers would be prudent to understand drivers of high volume without implying any misconduct.

Ancillary screening and testing activity appears unusually centralized at this provider: 92552 (hearing assessment) ranks #1 of 56 providers with $361.1K revenue (100th percentile, extreme outlier), 99173 (vision screening) shows 49.1K claims and $98.3K revenue (100th percentile, extreme outlier), and 83655 (lead testing) ranks #2 of 147 with $77.8K revenue (99th percentile, extreme outlier). These data points support the conclusion that on‑site screening services are a meaningful component of their care model and revenue base, which has implications for staffing, equipment, and pediatric quality‑measure capture.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	227,120	$40	$9.5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	107,010	$60	$6.8M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	38,890	$70	$2.6M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	34,770	$60	$2.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	27,610	$70	$1.8M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	101,010	$10	$1.3M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	17,570	$70	$1.2M
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	65,840	$10	$921.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	34,730	$30	$868.3K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	22,510	$30	$652.7K

Showing 1–10 of 84

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Louisiana Distribution

Children's International L.L.C. — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

84 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	486	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	273	320	2,270	$90	$637.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	16	2,890	980	$40	$246.8K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	49	210	630	$70	$239.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	10	3,230	1,120	$30	$204.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6	360	780	$50	$141.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5	420	740	$50	$137.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	102	360	340	$30	$120.8K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	288	1,170	160	$80	$102.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4	490	310	$50	$84.7K

Showing 1–10 of 84

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's International, LLC	LA	Rural Health Clinic/Center	$0	$5.4M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$4.6M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$1.6M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$1.5M
Children's International, LLC	MS	Primary Care Clinic/Center	$0	$1.4M
Laconda Davenport	AZ	Family Nurse Practitioner	$16.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$15.2M
Slidell Memorial Hospital	LA	General Acute Care Hospital	$0	$11.8M
Addiction Counseling And Educational Resources, LLC	LA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8M
Edward Mannina	LA	Radiation Oncology Physician	$652.3K	$0
Daniel Bourgeois	LA	Radiation Oncology Physician	$621.8K	$0
Bruce Iteld	LA	Specialist	$471.5K	$0
Marc Bernstein	LA	Cardiovascular Disease Physician	$398.1K	$0
Daniel Tveit	LA	Nephrology Physician	$227.9K	$0
Sumitha Ganji	LA	Nephrology Physician	$156.3K	$0
Vasanth Bethala	LA	Interventional Cardiology Physician	$147.9K	$0

Children's International L.L.C. — Billing Profile & Reimbursement Data

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Children's International L.L.C. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References