Physician
Bayou Pediatric Associates, Apmc
Bayou Pediatric Associates, Apmc was paid $7.85M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoBAYOU PEDIATRIC ASSOCIATES, APMC
HOUMA, LA 70360
HOUMA, LA 70360
33aNPI1710061627assigned 10/25/2006
33bProvider typePediatrics Physician
28Total paid$7.85M
24GClaims289,924
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#16 of 230
Median peer was paid$429K
This provider vs. median18×
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 | 48,929 | $1.33M | |
| 2019 | 48,732 | $1.26M | |
| 2020 | 37,943 | $976K | |
| 2021 | 38,995 | $1.11M | |
| 2022 | 39,250 | $1.14M | |
| 2023 | 37,476 | $1.04M | |
| 2024incomplete | 38,599 | $986K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 44,411 | 40,657 | $2.07M |
| 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 | 16% | 17,705 | 16,417 | $1.23M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10.0% | 11,438 | 11,115 | $784K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.5% | 10,818 | 10,537 | $743K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.1% | 8,426 | 8,179 | $638K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.1% | 22,760 | 20,972 | $561K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 7,585 | 7,302 | $461K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 23,038 | 22,049 | $322K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.7% | 14,609 | 14,180 | $209K |
| 92551 | 2.3% | 23,057 | 22,416 | $184K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.0% | 4,475 | 3,777 | $156K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 10,481 | 6,288 | $153K |
51 more codes
| 99051 | 1.1% | 5,368 | $86K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 664 | $45K |
| 99173 | <1% | 23,576 | $45K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,419 | $36K |
| 90474 | <1% | 3,290 | $29K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,476 | $23K |
| 99188 | <1% | 1,135 | $22K | |
| 87430 | <1% | 1,584 | $14K | |
| 87807 | <1% | 914 | $10K | |
| 99381 | <1% | 89 | $6K | |
| 99383 | <1% | 77 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,457 | $5K |
| 96160 | <1% | 7,112 | $3K | |
| 99382 | <1% | 25 | $2K | |
| 96127 | <1% | 691 | $2K | |
| 17250 | <1% | 43 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $1K |
| 0001A | <1% | 37 | $1K | |
| 87420 | <1% | 91 | $1K | |
| 0071A | <1% | 29 | $1K | |
| 69210 | <1% | 43 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 24 | $212.10 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | $160.00 |
| 94760 | <1% | 2,268 | $26.28 | |
| 90707 | 0% | 2,506 | $0.00 | |
| 90713 | 0% | 726 | $0.00 | |
| 90700 | 0% | 1,941 | $0.00 | |
| 90670 | 0% | 4,906 | $0.00 | |
| 90734 | 0% | 1,298 | $0.00 | |
| 90715 | 0% | 623 | $0.00 | |
| 90681 | 0% | 921 | $0.00 | |
| 90633 | 0% | 2,641 | $0.00 | |
| 90671 | 0% | 1,305 | $0.00 | |
| 90685 | 0% | 444 | $0.00 | |
| 90648 | 0% | 336 | $0.00 | |
| 90658 | 0% | 59 | $0.00 | |
| 91300 | 0% | 62 | $0.00 | |
| 90697 | 0% | 445 | $0.00 | |
| 90723 | 0% | 1,508 | $0.00 | |
| 90680 | 0% | 2,438 | $0.00 | |
| 90686 | 0% | 4,627 | $0.00 | |
| 90698 | 0% | 2,058 | $0.00 | |
| 90744 | 0% | 1,162 | $0.00 | |
| 90716 | 0% | 2,508 | $0.00 | |
| 90651 | 0% | 1,580 | $0.00 | |
| 90647 | 0% | 1,439 | $0.00 | |
| 90619 | 0% | 439 | $0.00 | |
| 90696 | 0% | 40 | $0.00 | |
| 91307 | 0% | 123 | $0.00 | |
| 90656 | 0% | 372 | $0.00 | |
| 90620 | 0% | 158 | $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 officialTOTINA, ALBERT (PHYSICIAN/PRESIDENT)