Clinic
Acadiana Pediatrics, L.L.C.
Acadiana Pediatrics, L.L.C. was paid $4.58M by Medicaid between Jan 2019 and Dec 2024, across 47 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoACADIANA PEDIATRICS, L.L.C.
RAYNE, LA 70578
RAYNE, LA 70578
33aNPI1780191890assigned 01/10/2018
33bProvider typeRural Health Clinic/Center
28Total paid$4.58M
24GClaims139,800
24DCodes billed47
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Louisiana
Rank by total paid#40 of 160
Median peer was paid$2.26M
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2019 | 28,906 | $451K | |
| 2020 | 18,033 | $692K | |
| 2021 | 22,209 | $908K | |
| 2022 | 23,327 | $928K | |
| 2023 | 25,174 | $899K | |
| 2024incomplete | 22,151 | $700K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 55,208 | 37,964 | $4.58M |
| 99050 | <1% | 315 | 292 | $3K | |
| 99051 | <1% | 12 | 12 | $13.38 | |
| 3074F | 0% | 3,766 | 3,235 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 33,172 | 24,328 | $0.00 |
| 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 | 0% | 7,304 | 4,803 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 4,398 | 3,830 | $0.00 |
| 3079F | 0% | 816 | 686 | $0.00 | |
| 90723 | 0% | 337 | 315 | $0.00 | |
| 90680 | 0% | 1,453 | 1,200 | $0.00 | |
| 90697 | 0% | 726 | 674 | $0.00 | |
| 90686 | 0% | 855 | 763 | $0.00 |
35 more codes
| 90698 | 0% | 14 | $0.00 | |
| 90647 | 0% | 655 | $0.00 | |
| 99381 | 0% | 115 | $0.00 | |
| 85018 | 0% | 69 | $0.00 | |
| 3080F | 0% | 80 | $0.00 | |
| 90696 | 0% | 58 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 136 | $0.00 |
| 3075F | 0% | 705 | $0.00 | |
| 90651 | 0% | 45 | $0.00 | |
| 90656 | 0% | 104 | $0.00 | |
| 90619 | 0% | 53 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,995 | $0.00 |
| 99173 | 0% | 468 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 3,058 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,487 | $0.00 |
| 90633 | 0% | 1,054 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 425 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 4,270 | $0.00 |
| 90473 | 0% | 1,472 | $0.00 | |
| 90670 | 0% | 1,879 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,423 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 101 | $0.00 |
| 90710 | 0% | 747 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 308 | $0.00 |
| 1160F | 0% | 47 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 5,005 | $0.00 |
| 3078F | 0% | 3,709 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 86 | $0.00 |
| 90671 | 0% | 341 | $0.00 | |
| 92552 | 0% | 56 | $0.00 | |
| 90734 | 0% | 53 | $0.00 | |
| 90700 | 0% | 104 | $0.00 | |
| 90715 | 0% | 42 | $0.00 | |
| 3077F | 0% | 257 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 17 | $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 officialDAWSON, MARK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Acadiana Family Medical Associates, LLC | Rayne, LA | $608K |
| Acadiana Pediatrics, L.L.C. | Rayne, LA | $314K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.