Physician
Acadiana Maternal Fetal Medicine Consulting Apmc
Acadiana Maternal Fetal Medicine Consulting Apmc was paid $2.17M by Medicaid between Nov 2021 and Dec 2024, across 22 billing codes. Its largest line is 76805, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation — 20% of everything it billed.
33Billing provider infoACADIANA MATERNAL FETAL MEDICINE CONSULTING APMC
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
33aNPI1760051049assigned 06/22/2021
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$2.17M
24GClaims35,052
24DCodes billed22
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Louisiana
Rank by total paid#4 of 7
Median peer was paid$2.17M
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2021 | 2,069 | $110K | |
| 2022 | 10,036 | $715K | |
| 2023 | 13,582 | $739K | |
| 2024incomplete | 9,365 | $603K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 20% | 6,145 | 4,703 | $438K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 20% | 3,348 | 2,674 | $427K |
| 76819 | Fetal biophysical profile; without non-stress testing | 18% | 7,469 | 4,775 | $399K |
| 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 | 14% | 6,018 | 4,246 | $298K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 9.5% | 4,018 | 2,911 | $206K |
| 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 | 9.2% | 2,645 | 2,144 | $200K |
| 76820 | 3.8% | 2,347 | 1,146 | $82K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 944 | 671 | $32K |
| 76810 | 1.1% | 372 | 254 | $23K | |
| 76825 | <1% | 231 | 159 | $21K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 223 | 160 | $11K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 323 | 209 | $8K |
10 more codes
| 76818 | <1% | 336 | $8K | |
| 93325 | <1% | 240 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 58 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 99221 | <1% | 35 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 99406 | <1% | 148 | $751.74 | |
| 76821 | <1% | 16 | $647.60 | |
| 59025 | Fetal non-stress test | <1% | 78 | $643.42 |
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 officialRODTS-PALENIK, SHERYL (OWNER)