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.

North Oaks Pediatric Clinic, L.L.P. (NPI 1275532673)

North Oaks Pediatric Clinic, L.L.P. is a pediatrics physician provider located in Hammond, Louisiana. This profile covers 0 Medicare and 68 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	North Oaks Pediatric Clinic, L.L.P.
Address	42440 Pelican Professional Park
City	Hammond
State	LA
ZIP	70403
Taxonomy	Pediatrics Physician
NPI Enumerated	July 18, 2005

Payer Source	Total Paid
Medicaid	$14.2M
Medicare	$0

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

68 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…	184,850	$30	$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…	61,900	$40	$2.4M
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…	27,700	$50	$1.4M
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…	27,080	$40	$1.2M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	24,780	$50	$1.1M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	18,790	$50	$939.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	52,310	$10	$523.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	33,040	$10	$396.4K
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,…	9,050	$30	$289.7K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	8,860	$20	$141.7K

Showing 1–10 of 68

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

North Oaks Pediatric Clinic, L.L.P. — 13 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	38	2,890	980	$40	$246.8K
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…	13	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…	8	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…	6	420	740	$50	$137.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5	490	310	$50	$84.7K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	24	120	240	$30	$70.6K
99203	The provider sees a new 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 provider…	1,199	1,280	180	$50	$64.8K
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,…	109	1,460	440	$20	$64K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3	490	170	$50	$62K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	7	50	50	$150	$54.6K

Showing 1–10 of 68

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Inc	LA	Developmentally Disabled Services Day Training Agency	$0	$46.6M
North Oaks Medical Center, LLC	LA	Rural Acute Care Hospital	$0	$37.5M
Always Tlc, LLC	LA	In Home Supportive Care Agency	$0	$18.8M
North Oaks Medical Center, LLC	LA	General Acute Care Hospital	$0	$18.3M
Choices Coordinated Care Solutions, Inc.	LA	Case Management Agency	$0	$13.9M
Gloss Enterprise	LA	In Home Supportive Care Agency	$0	$13.6M
Wilkinson Care Giving, LLC	LA	In Home Supportive Care Agency	$0	$11.7M
North Oaks Obstetrics & Gynecology	LA	Gynecology Physician	$0	$8.5M
Egan Healthcare Of Northshore, Inc	LA	Home Health Agency	$0	$8.5M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$7.5M

North Oaks Pediatric Clinic, L.L.P. — Billing Profile & Reimbursement Data

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North Oaks Pediatric Clinic, L.L.P. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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