Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Medical Specialist of Acadiana, LLC

Medical Specialist of Acadiana, LLC was paid $610K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 39% of everything it billed.

33Billing provider infoMEDICAL SPECIALIST OF ACADIANA, LLC
LAFAYETTE, LA 70508
33aNPI1114350469assigned 08/09/2013
28Total paid$610K
24GClaims35,634
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Louisiana

Rank by total paid#37 of 290
Median peer was paid$27K
This provider vs. median23×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20184,069$30K
20194,526$33K
20205,039$87K
20215,608$92K
20225,580$112K
20237,096$147K
2024incomplete3,716$108K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 39% 3,037 2,195 $238K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 22% 26,433 20,097 $135K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 13% 1,534 735 $77K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 11% 2,236 758 $65K
99220 5.4% 493 405 $33K
99222 Initial hospital care, per day, moderate complexity 5.1% 573 437 $31K
99238 Hospital discharge day management, 30 minutes or less 2.1% 491 336 $13K
99239 Hospital discharge day management, more than 30 minutes 1.8% 222 183 $11K
99226 <1% 205 117 $4K
99407 <1% 92 73 $944.01
99224 <1% 88 79 $857.40
99217 0% 230 178 $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 officialRAMIREZ-ASTACIO, CESAR (OWNER)