April Breaux LLC

April Breaux LLC was paid $360K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoAPRIL BREAUX LLC
LAFAYETTE, LA 70507

33aNPI1225581978assigned 07/29/2016

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$360K

24GClaims9,222

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Louisiana

Rank by total paid#17 of 146

Median peer was paid$34K

This provider vs. median11×

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	2,365	$52K
2019	899	$33K
2020	665	$37K
2021	844	$46K
2022	795	$47K
2023	1,693	$65K
2024incomplete	1,961	$81K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	59%	4,282	2,982	$213K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	18%	2,701	1,114	$66K
90792	Psychiatric diagnostic evaluation with medical services	8.3%	568	391	$30K
99223	Prolong inpt eval add15 m	6.6%	405	306	$24K
99238	Hospital discharge day management, 30 minutes or less	4.4%	756	544	$16K
99222	Initial hospital care, per day, moderate complexity	2.3%	233	169	$8K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	258	103	$2K
99205	Prolong outpt/office vis	<1%	19	12	$1K

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 officialBREAUX, APRIL (OWNER)