Physician
Gastroenterology Clinic of Acadiana LLC
Gastroenterology Clinic of Acadiana LLC was paid $94K by Medicaid between Jan 2018 and Jun 2022, across 8 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 35% of everything it billed.
33Billing provider infoGASTROENTEROLOGY CLINIC OF ACADIANA LLC
LAFAYETTE, LA 70503
LAFAYETTE, LA 70503
33aNPI1841363512assigned 11/17/2006
33bProvider typeGastroenterology Physician
28Total paid$94K
24GClaims2,707
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Gastroenterology Physician providers in Louisiana
Rank by total paid#16 of 33
Median peer was paid$83K
This provider vs. median1.1×
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 | 349 | $8K | |
| 2019 | 492 | $13K | |
| 2020 | 720 | $25K | |
| 2021 | 761 | $34K | |
| 2022 | 385 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 35% | 357 | 313 | $33K |
| 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 | 28% | 1,374 | 1,254 | $26K |
| 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 | 12% | 173 | 160 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.5% | 207 | 180 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.4% | 327 | 194 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 229 | 205 | $5K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 3.1% | 14 | 14 | $3K |
| 99490 | Ccm add 20min | 0% | 26 | 24 | $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 officialABSHIRE, STEPHEN (CEO)