Physician
Acadiana Pediatrics, L.L.C.
Acadiana Pediatrics, L.L.C. was paid $314K by Medicaid between Jun 2018 and Nov 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoACADIANA PEDIATRICS, L.L.C.
RAYNE, LA 70578
RAYNE, LA 70578
33aNPI1912435710assigned 05/24/2017
33bProvider typeFamily Medicine Physician
28Total paid$314K
24GClaims11,159
24DCodes billed29
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Louisiana
Rank by total paid#128 of 417
Median peer was paid$63K
This provider vs. median5.0×
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 | |
|---|---|---|---|
| 2018 | 5,194 | $152K | |
| 2019 | 4,793 | $147K | |
| 2020 | 49 | $752.45 | |
| 2021 | 612 | $6K | |
| 2022 | 254 | $3K | |
| 2023 | 180 | $2K | |
| 2024incomplete | 77 | $1K |
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 | 41% | 3,977 | 3,080 | $130K |
| 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 | 29% | 1,724 | 1,374 | $92K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 445 | 336 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 436 | 301 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 223 | 183 | $11K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.1% | 678 | 543 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 986 | 732 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 340 | 277 | $8K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.5% | 150 | 137 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 42 | 41 | $3K |
| 90473 | <1% | 286 | 205 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 17 | 15 | $1K |
17 more codes
| 0012A | <1% | 69 | $1K | |
| 0011A | <1% | 89 | $1K | |
| 0072A | <1% | 27 | $669.12 | |
| 0002A | <1% | 41 | $507.04 | |
| 0071A | <1% | 12 | $499.96 | |
| 90686 | <1% | 225 | $247.79 | |
| 90647 | <1% | 229 | $0.03 | |
| 91300 | 0% | 96 | $0.00 | |
| 90633 | 0% | 84 | $0.00 | |
| 90670 | 0% | 330 | $0.00 | |
| 90710 | 0% | 64 | $0.00 | |
| 90685 | 0% | 100 | $0.00 | |
| 91307 | 0% | 42 | $0.00 | |
| 90680 | 0% | 224 | $0.00 | |
| 90723 | 0% | 131 | $0.00 | |
| 91301 | 0% | 78 | $0.00 | |
| 90696 | 0% | 14 | $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 Pediatrics, L.L.C. | Rayne, LA | $4.58M |
| Acadiana Family Medical Associates, LLC | Rayne, LA | $608K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.