Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › LAFAYETTE › PEDIATRIC GROUP OF ACADIANA, LLC

PEDIATRIC GROUP OF ACADIANA, LLC

NPI: 1265499628 · LAFAYETTE, LA 70508 · Specialist · NPI assigned 04/28/2006

$57.58M
Total Medicaid Paid
2,321,261
Total Claims
1,964,186
Beneficiaries
202
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRABENALDT, ANTOINETTE (CREDENTIALING COORDINATOR)
NPI Enumeration Date04/28/2006

Related Entities

Other providers sharing the same authorized official: RABENALDT, ANTOINETTE

ProviderCityStateTotal Paid
PEDIATRIC GROUP OF ACADIANA LLC ERATH LA $5.56M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 367,796 $9.86M
2019 367,133 $10.00M
2020 337,985 $7.63M
2021 369,144 $9.08M
2022 328,108 $8.48M
2023 306,572 $7.02M
2024 244,523 $5.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 325,886 282,018 $14.02M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 95,463 84,441 $5.37M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 168,630 150,964 $4.26M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 65,672 59,256 $4.07M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 62,285 56,805 $3.55M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 54,467 50,273 $3.37M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 40,586 36,774 $2.69M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 135,410 121,216 $1.74M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 22,081 19,654 $1.57M
95004 Percutaneous tests with allergenic extracts, immediate type reaction 6,103 5,373 $1.42M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 11,405 9,188 $1.26M
90472 Immunization administration, each additional vaccine (list separately) 84,680 77,301 $1.17M
54150 6,712 6,195 $835K
92551 105,331 96,140 $753K
99051 44,191 40,048 $690K
99238 Hospital discharge day management, 30 minutes or less 12,434 11,738 $637K
99233 Prolong inpt eval add15 m 20,396 6,141 $611K
99205 Prolong outpt/office vis 4,848 3,896 $494K
99460 11,294 10,686 $494K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 15,340 13,853 $460K
93320 11,480 9,247 $456K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 2,221 2,055 $448K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 10,757 9,212 $420K
99223 Prolong inpt eval add15 m 6,463 5,127 $406K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,502 3,750 $352K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,365 2,946 $348K
93325 12,871 10,113 $335K
99188 17,233 14,884 $325K
99215 Prolong outpt/office vis 4,761 3,879 $314K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5,094 4,525 $275K
87634 5,085 4,191 $251K
99232 Subsequent hospital care, per day, moderate complexity 9,422 1,791 $245K
90474 28,067 25,150 $226K
96110 Developmental screening, with scoring and documentation, per standardized instrument 63,579 49,262 $219K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,615 3,217 $216K
99173 118,607 104,542 $194K
99239 Hospital discharge day management, more than 30 minutes 5,036 4,270 $171K
96160 21,452 17,285 $166K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,348 6,781 $163K
99462 6,763 5,024 $159K
T1015 Clinic visit/encounter, all-inclusive 6,309 2,981 $157K
93000 10,780 9,286 $143K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 830 736 $140K
99385 2,125 1,805 $124K
99220 1,531 1,319 $119K
97802 104,895 77,009 $110K
98960 34,527 18,183 $95K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3,509 3,171 $95K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,003 14,157 $87K
83655 9,312 7,639 $86K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,831 7,178 $85K
99401 7,518 6,234 $85K
94060 2,242 1,992 $80K
69210 4,058 2,168 $79K
99386 1,021 883 $71K
99381 837 724 $46K
90473 4,900 4,137 $41K
99222 Initial hospital care, per day, moderate complexity 597 493 $40K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 495 137 $36K
95117 4,206 2,562 $36K
96127 35,982 25,179 $35K
96161 7,249 5,496 $35K
0001A 881 750 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 552 507 $32K
0002A 862 699 $30K
97803 46,898 37,471 $29K
99219 337 326 $28K
0071A 702 563 $26K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 281 265 $26K
80053 Comprehensive metabolic panel 2,964 2,462 $23K
76825 285 221 $23K
76820 623 447 $22K
87807 1,767 1,612 $20K
99225 871 637 $20K
G9919 Screening performed and positive and provision of recommendations 704 663 $19K
0072A 453 410 $19K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 5,353 4,118 $18K
95115 2,069 959 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,507 1,347 $14K
80061 Lipid panel 1,651 1,307 $14K
76827 314 245 $13K
90686 27,208 23,538 $11K
81025 2,172 1,876 $10K
G0444 Annual depression screening, 5 to 15 minutes 3,707 2,495 $10K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,621 1,353 $10K
90682 272 213 $9K
36415 Collection of venous blood by venipuncture 5,256 4,611 $8K
92567 792 655 $8K
81003 6,592 4,931 $8K
93227 408 310 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 634 583 $7K
85018 6,897 5,250 $7K
93304 90 69 $6K
17110 74 62 $4K
99226 190 111 $4K
99383 71 52 $4K
86308 740 701 $3K
93244 183 167 $3K
93225 414 303 $3K
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 1,269 801 $3K
96380 203 179 $3K
99050 232 206 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,229 870 $2K
82947 1,107 848 $2K
99406 883 508 $2K
99407 227 164 $2K
93242 182 166 $2K
0513F 1,425 1,211 $2K
94760 24,227 16,643 $1K
85651 554 419 $1K
93248 61 59 $1K
0011A 52 43 $1K
0081A 44 30 $1K
99384 12 12 $1K
93321 52 40 $1K
3074F 3,513 3,081 $846.00
90672 6,125 4,978 $800.80
3079F 2,753 2,407 $774.00
17250 17 13 $754.64
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 30 24 $735.70
3077F 2,625 2,194 $705.28
3078F 3,286 2,855 $700.00
0082A 20 18 $664.65
90670 36,456 31,607 $663.67
93246 61 59 $657.34
90621 3,797 3,185 $538.31
90715 3,642 3,078 $510.56
3080F 1,709 1,461 $504.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 67 61 $488.27
31720 22 17 $473.69
90656 1,199 1,077 $471.87
90651 11,506 9,901 $435.42
3075F 1,580 1,404 $399.00
90688 322 131 $361.92
99177 231 169 $325.43
93272 17 14 $305.00
0012A 20 16 $298.86
90677 373 346 $288.66
90732 31 25 $266.94
90734 6,332 5,426 $250.29
80305 71 26 $237.38
81000 146 106 $236.26
3044F 76 64 $190.00
82247 51 40 $180.19
90697 10,487 9,120 $150.00
93040 58 30 $135.73
H0049 Alcohol and/or drug screening 35 25 $61.25
36416 2,567 1,886 $37.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg 60 57 $35.13
90460 Immunization administration through 18 years of age via any route, first or only component 104 77 $20.00
90744 13,382 11,697 $18.26
90698 27,641 23,768 $14.70
J1885 Injection, ketorolac tromethamine, per 15 mg 66 41 $13.48
91300 1,839 1,460 $11.27
90680 27,479 23,544 $9.13
90633 25,961 21,957 $5.87
90671 9,111 7,807 $0.02
90707 5,673 4,908 $0.00
90710 4,473 3,817 $0.00
4001F 32 31 $0.00
90700 1,475 1,314 $0.00
90685 4,114 3,775 $0.00
3015F 581 519 $0.00
3511F 254 242 $0.00
3016F 1,491 1,348 $0.00
90648 261 230 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 107 68 $0.00
1159F 1,226 1,091 $0.00
1160F 1,226 1,091 $0.00
90380 13 12 $0.00
90681 92 82 $0.00
91308 107 80 $0.00
90696 4,127 3,528 $0.00
90619 5,879 4,821 $0.00
99000 1,803 1,169 $0.00
90716 5,758 4,985 $0.00
1034F 186 168 $0.00
90723 779 736 $0.00
90381 135 119 $0.00
90647 1,713 1,608 $0.00
99024 68 54 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 73 67 $0.00
1000F 1,425 1,273 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 258 197 $0.00
G0008 Administration of influenza virus vaccine 105 85 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 496 424 $0.00
1036F 1,291 1,147 $0.00
97804 168 140 $0.00
90660 554 448 $0.00
3017F 30 30 $0.00
91307 1,428 1,184 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 157 92 $0.00
4000F 158 143 $0.00
3014F 92 86 $0.00
3048F 15 14 $0.00
3008F 342 325 $0.00
91305 35 26 $0.00
91301 80 75 $0.00
99217 139 101 $0.00
4010F 93 82 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 14 12 $0.00
3049F 21 19 $0.00