Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Associates of Lafayette, P.C.

Pediatric Associates of Lafayette, P.C. was paid $261K by Medicaid between Jan 2018 and Oct 2022, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoPEDIATRIC ASSOCIATES OF LAFAYETTE, P.C.
LAFAYETTE, IN 47904
33aNPI1609907575assigned 03/09/2007
33bProvider typePediatrics Physician
28Total paid$261K
24GClaims7,587
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

Next to other Pediatrics Physician providers in Indiana

Rank by total paid#66 of 119
Median peer was paid$395K
This provider vs. median0.7×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,082$49K
20191,888$56K
20201,665$36K
20212,118$79K
2022834$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58% 2,668 2,176 $151K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 11% 2,072 1,538 $29K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 396 292 $28K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.0% 233 214 $21K
90472 Immunization administration, each additional vaccine (list separately) 6.5% 635 500 $17K
90686 2.7% 875 655 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 26 26 $2K
92551 <1% 205 165 $2K
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 <1% 13 12 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 12 12 $1K
99460 <1% 19 15 $989.60
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 80 76 $500.33
8 more codes
90685 <1% 15 $316.96
94760 <1% 166 $297.47
99173 <1% 47 $92.16
96127 <1% 13 $59.94
90670 <1% 62 $0.05
90647 <1% 25 $0.01
90723 <1% 12 $0.01
90633 0% 13 $0.00

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 officialPADGETT, THOMAS (PRESIDENT)