Clinic
Pediatric Group of Acadiana LLC
Pediatric Group of Acadiana LLC was paid $5.56M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoPEDIATRIC GROUP OF ACADIANA LLC
ERATH, LA 70533
ERATH, LA 70533
33aNPI1073973533assigned 02/26/2016
33bProvider typeRural Health Clinic/Center
28Total paid$5.56M
24GClaims206,115
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Louisiana
Rank by total paid#27 of 160
Median peer was paid$2.26M
This provider vs. median2.5×
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 | 22,620 | $507K | |
| 2019 | 18,705 | $494K | |
| 2020 | 25,742 | $807K | |
| 2021 | 34,769 | $1.04M | |
| 2022 | 32,495 | $996K | |
| 2023 | 36,622 | $838K | |
| 2024incomplete | 35,162 | $882K |
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 | 100% | 64,632 | 46,068 | $5.55M |
| 99051 | <1% | 745 | 517 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 39,560 | 29,659 | $753.44 |
| 98960 | <1% | 2,610 | 1,729 | $727.25 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,410 | 11,265 | $89.79 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,399 | 1,114 | $66.40 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,699 | 3,959 | $60.50 |
| 97802 | <1% | 8,699 | 6,608 | $40.16 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,116 | 5,028 | $30.00 |
| 92551 | <1% | 4,442 | 3,428 | $6.59 | |
| 99173 | <1% | 4,766 | 3,687 | $1.59 | |
| 90670 | <1% | 1,877 | 1,729 | $0.92 |
59 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 4,281 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,804 | $0.00 |
| 97803 | 0% | 6,253 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 5,637 | $0.00 |
| 90633 | 0% | 1,043 | $0.00 | |
| 90671 | 0% | 1,143 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 926 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,620 | $0.00 |
| 81003 | 0% | 365 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 842 | $0.00 |
| 81025 | 0% | 268 | $0.00 | |
| 90710 | 0% | 77 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 441 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 135 | $0.00 |
| 96160 | 0% | 1,304 | $0.00 | |
| 99188 | 0% | 133 | $0.00 | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 249 | $0.00 |
| 3016F | 0% | 485 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 31 | $0.00 |
| 3725F | 0% | 100 | $0.00 | |
| 90707 | 0% | 38 | $0.00 | |
| 90734 | 0% | 47 | $0.00 | |
| 3078F | 0% | 21 | $0.00 | |
| 3015F | 0% | 90 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 177 | $0.00 |
| 3511F | 0% | 238 | $0.00 | |
| 3077F | 0% | 81 | $0.00 | |
| 90685 | 0% | 52 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 8,718 | $0.00 |
| 94760 | 0% | 2,347 | $0.00 | |
| 90697 | 0% | 1,044 | $0.00 | |
| 96127 | 0% | 1,533 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,021 | $0.00 |
| 90680 | 0% | 1,400 | $0.00 | |
| 90698 | 0% | 1,084 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 381 | $0.00 |
| 90474 | 0% | 1,343 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 469 | $0.00 |
| 3008F | 0% | 825 | $0.00 | |
| 1000F | 0% | 395 | $0.00 | |
| 3080F | 0% | 58 | $0.00 | |
| 90744 | 0% | 346 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 110 | $0.00 |
| 90716 | 0% | 41 | $0.00 | |
| 90686 | 0% | 964 | $0.00 | |
| 90651 | 0% | 75 | $0.00 | |
| 96161 | 0% | 163 | $0.00 | |
| 90696 | 0% | 31 | $0.00 | |
| 1036F | 0% | 268 | $0.00 | |
| 3074F | 0% | 79 | $0.00 | |
| 87807 | 0% | 327 | $0.00 | |
| 3079F | 0% | 41 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 67 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 47 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 17 | $0.00 |
| 90619 | 0% | 28 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 15 | $0.00 |
| 90656 | 0% | 22 | $0.00 | |
| 90660 | 0% | 20 | $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 officialRABENALDT, ANTOINETTE (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Group of Acadiana, LLC | Lafayette, LA | $57.58M |
| Pediatric Group of Acadiana LLC | Church Point, LA | $2.67M |
| Pediatric Group of Acadiana, LLC | New Roads, LA | $1.26M |
| Pediatric Group of Acadiana LLC | Crowley, LA | $861K |
| Pediatric Group of Acadiana, LLC | Maurepas, LA | $825K |
| Medicine Clinic of Acadiana, LLC | Lafayette, LA | $90K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.