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.

The Center For Pediatric And Adolescent Medicine,llc (NPI 1407858566)

Field	Value
Entity Type	Organization
Organization	The Center For Pediatric And Adolescent Medicine,llc
Address	604 N Acadia Rd
City	Thibodaux
State	LA
ZIP	70301
Taxonomy	Pediatric Adolescent Medicine Physician
NPI Enumerated	June 2, 2005

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

74 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…	56,740	$40	$2.4M
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…	23,690	$60	$1.5M
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…	15,950	$60	$956.7K
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…	14,640	$70	$951.4K
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,…	34,010	$20	$816.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,390	$70	$629K
0241U	N/A	4,260	$100	$417.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	26,510	$10	$344.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,200	$70	$302K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	18,810	$10	$244.5K

Showing 1–10 of 74

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

The Center For Pediatric And Adolescent Medicine,llc — 9 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

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	49	100	620	$40	$560K
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…	125	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…	76	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…	81	3,230	1,120	$30	$204.3K
0241U	N/A	10	100	430	$90	$186.2K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	23	40	420	$90	$142.7K
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…	13	360	780	$50	$141.5K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	48	170	640	$30	$138.8K
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…	14	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.	19	490	310	$50	$84.7K

Showing 1–10 of 74

Nearby Providers

Other providers in the same ZIP code as The Center For Pediatric And Adolescent Medicine,llc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lafourche Arc	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$41.6M
Magnolia Family Services LLC	LA	Community/Behavioral Health Agency	$0	$31.4M
Leading Health Care Of La, Inc.	LA	In Home Supportive Care Agency	$0	$19.2M
Thibodaux Regional Health System Inc	LA	General Acute Care Hospital	$0	$12.6M
Easter Seals Louisiana Inc.	LA	Case Management Agency	$0	$10.7M
Raja Talluri Md A Professional Medical Corporation	LA	Rural Health Clinic/Center	$0	$10.6M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$9.3M
Thibodaux Emergency Physicians Group LLC	LA	Emergency Medicine Physician	$0	$7.7M
Medical Resources & Guidance, Inc.	LA	Case Management Agency	$0	$7.7M
Touchstone Center, LLC	LA	Behavior Analyst	$0	$5.8M

The Center For Pediatric And Adolescent Medicine,llc — Billing Profile & Reimbursement Data

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The Center For Pediatric And Adolescent Medicine,llc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References