Physician
Pediatric Specialties Apmc
Pediatric Specialties Apmc was paid $3.99M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 37% of everything it billed.
33Billing provider infoPEDIATRIC SPECIALTIES APMC
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
33aNPI1376601864assigned 12/05/2006
33bProvider typePediatric Cardiology Physician
28Total paid$3.99M
24GClaims76,426
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Cardiology Physician providers in Louisiana
Rank by total paid#2 of 5
Median peer was paid$1.35M
This provider vs. median3.0×
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 | 12,150 | $692K | |
| 2019 | 10,373 | $590K | |
| 2020 | 9,010 | $560K | |
| 2021 | 8,642 | $528K | |
| 2022 | 10,781 | $651K | |
| 2023 | 14,393 | $528K | |
| 2024incomplete | 11,077 | $438K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 37% | 9,790 | 8,173 | $1.49M |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 18% | 6,425 | 5,116 | $728K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 12,356 | 9,941 | $445K |
| 93320 | 6.5% | 6,460 | 5,124 | $261K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.4% | 3,157 | 2,476 | $256K |
| 93000 | 6.1% | 19,219 | 16,086 | $244K | |
| 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 | 5.1% | 3,510 | 2,996 | $204K |
| 93325 | 4.5% | 6,549 | 5,198 | $181K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 1,304 | 1,189 | $83K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,121 | 4,452 | $30K |
| 93227 | <1% | 1,104 | 1,045 | $22K | |
| 93272 | <1% | 1,006 | 830 | $17K |
6 more codes
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 officialGUTIERREZ, ALBERT (PHYSICIAN)