Maternal Fetal Medicine of Acadiana

Maternal Fetal Medicine of Acadiana was paid $7.23M by Medicaid between Jan 2018 and May 2023, across 26 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 22% of everything it billed.

33Billing provider infoMATERNAL FETAL MEDICINE OF ACADIANA
LAFAYETTE, LA 70508

33aNPI1770587248assigned 06/11/2005

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$7.23M

24GClaims144,916

24DCodes billed26

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Louisiana

Rank by total paid#1 of 7

Median peer was paid$2.17M

This provider vs. median3.3×

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	24,311	$1.15M
2019	26,891	$1.29M
2020	25,571	$1.31M
2021	29,721	$1.52M
2022	28,946	$1.46M
2023	9,476	$506K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76819	Fetal biophysical profile; without non-stress testing	22%	29,258	12,896	$1.57M
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	17%	8,510	7,615	$1.20M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	29,180	21,093	$1.06M
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	12%	16,229	13,585	$887K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	8.3%	10,723	8,522	$598K
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	6.5%	8,546	6,304	$467K
76820		5.0%	10,025	4,272	$359K
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	3.8%	3,195	2,934	$272K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.3%	4,356	4,013	$240K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	3.0%	2,833	2,656	$213K
76801		1.4%	1,439	1,308	$101K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	1,988	516	$68K

14 more codes

99233	Hospital visit by a doctor, follow-up day (complex)	<1%	776	$40K
82962		<1%	13,064	$28K
76818		<1%	1,171	$24K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	730	$22K
76821		<1%	363	$19K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	884	$18K
59514		<1%	35	$12K
99215	Doctor's office visit, returning patient (complex)	<1%	162	$12K
99051		<1%	1,002	$11K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	<1%	17	$8K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	266	$1K
99205	Prolong outpt/office vis	<1%	13	$1K
99223	Prolong inpt eval add15 m	<1%	19	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	132	$65.25

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 officialDIBBS, PAUL (OWNER)