PEDIATRUST ACADIANA, LLC
NPI: 1174120612
· LAFAYETTE, LA 70503
· Medically Fragile Infants and Children Day Care
· NPI assigned 10/07/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code T1025 with only 3 total codes billed. Highly concentrated billing profile.
$8.60M
Total Medicaid Paid
Provider Details
| Authorized Official | CRAIG, LEANN (OWNER) |
| NPI Enumeration Date | 10/07/2020 |
Related Entities
Other providers sharing the same authorized official: CRAIG, LEANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,541 |
$632K |
| 2022 |
9,503 |
$1.81M |
| 2023 |
12,585 |
$2.83M |
| 2024 |
14,635 |
$3.33M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
24,609 |
1,569 |
$7.80M |
| T2002 |
Non-emergency transportation; per diem |
13,781 |
903 |
$448K |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
1,874 |
835 |
$358K |