Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC GROUP OF ACADIANA, LLC

NPI: 1477027894 · NEW ROADS, LA 70760 · Rural Health Clinic/Center · NPI assigned 01/18/2019

$1.26M
Total Medicaid Paid
38,081
Total Claims
26,592
Beneficiaries
28
Codes Billed
2020-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRABENALDT, ANTOINETTE (CREDENTIALING COORDINATOR)
NPI Enumeration Date01/18/2019

Related Entities

Other providers sharing the same authorized official: RABENALDT, ANTOINETTE

ProviderCityStateTotal Paid
PEDIATRIC GROUP OF ACADIANA, LLC LAFAYETTE LA $57.58M
PEDIATRIC GROUP OF ACADIANA LLC ERATH LA $5.56M
PEDIATRIC GROUP OF ACADIANA LLC CHURCH POINT LA $2.67M
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
2020 2,798 $113K
2021 7,029 $236K
2022 9,808 $357K
2023 13,159 $367K
2024 5,287 $190K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15,555 10,056 $1.26M
99051 52 47 $616.81
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,316 2,368 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 758 538 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,022 758 $0.00
90472 Immunization administration, each additional vaccine (list separately) 24 24 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 39 24 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 190 145 $0.00
99173 78 63 $0.00
3077F 22 16 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 66 48 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 48 41 $0.00
81003 23 12 $0.00
3016F 14 12 $0.00
99000 550 458 $0.00
36415 Collection of venous blood by venipuncture 3,098 2,361 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,580 6,905 $0.00
94760 1,274 913 $0.00
96127 664 487 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,143 849 $0.00
3079F 243 195 $0.00
92551 81 65 $0.00
97802 124 93 $0.00
3074F 29 26 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 51 51 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $0.00
3075F 12 12 $0.00