Medicaid Provider Spending

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

PEDIATRIC GROUP OF ACADIANA LLC

NPI: 1679126510 · CROWLEY, LA 70526 · Rural Health Clinic/Center · NPI assigned 07/19/2019

$861K
Total Medicaid Paid
40,579
Total Claims
29,654
Beneficiaries
42
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRABENALDT, ANTOINETTE (CREDENTIALING COORDINATOR)
NPI Enumeration Date07/19/2019

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 NEW ROADS LA $1.26M
PEDIATRIC GROUP OF ACADIANA, LLC MAUREPAS LA $825K
MEDICINE CLINIC OF ACADIANA, LLC LAFAYETTE LA $90K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 8,452 $195K
2022 9,512 $216K
2023 11,096 $209K
2024 11,519 $240K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 10,083 6,754 $860K
98960 974 648 $398.42
36416 296 228 $0.15
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 318 232 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 896 709 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,327 981 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 48 36 $0.00
90671 84 56 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 562 418 $0.00
96160 393 372 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 150 133 $0.00
97803 234 165 $0.00
81003 1,582 1,203 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,592 2,003 $0.00
99173 1,482 1,156 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,012 768 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 583 455 $0.00
99188 289 222 $0.00
90670 177 148 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 120 88 $0.00
90633 37 25 $0.00
90621 65 43 $0.00
92551 1,295 1,012 $0.00
94760 3,382 2,333 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,265 2,530 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,137 2,222 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,662 1,252 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,637 1,270 $0.00
97802 970 744 $0.00
99000 284 211 $0.00
96127 429 342 $0.00
96161 99 54 $0.00
85018 585 439 $0.00
90698 148 121 $0.00
90697 77 53 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 15 $0.00
90680 20 12 $0.00
90474 20 12 $0.00
90744 16 12 $0.00
90686 66 63 $0.00
87807 120 85 $0.00
90677 48 29 $0.00