Pediatric Group of Acadiana, LLC
Pediatric Group of Acadiana, LLC was paid $7.93M by Medicaid between Jan 2018 and Dec 2024, across 90 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 infoPEDIATRIC GROUP OF ACADIANA, LLC
SAINT MARTINVILLE, LA 70582
SAINT MARTINVILLE, LA 70582
33aNPI1922283225assigned 01/04/2008
33bProvider typeSpecialist
28Total paid$7.93M
24GClaims305,421
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Louisiana
Rank by total paid#7 of 228
Median peer was paid$60K
This provider vs. median133×
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 | 45,769 | $1.07M | |
| 2019 | 48,525 | $1.09M | |
| 2020 | 41,265 | $1.13M | |
| 2021 | 42,331 | $1.20M | |
| 2022 | 43,239 | $1.20M | |
| 2023 | 44,314 | $1.20M | |
| 2024incomplete | 39,978 | $1.04M |
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% | 99,948 | 66,021 | $7.91M |
| 99051 | <1% | 1,292 | 954 | $15K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 133 | 127 | $2K |
| 3044F | <1% | 243 | 228 | $610.00 | |
| 99050 | <1% | 84 | 61 | $448.40 | |
| 98960 | <1% | 1,073 | 823 | $199.21 | |
| 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% | 63,700 | 43,375 | $52.49 |
| 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 | <1% | 2,007 | 1,252 | $0.07 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 3,581 | 2,934 | $0.00 |
| 92551 | 0% | 7,527 | 5,841 | $0.00 | |
| 96127 | 0% | 2,205 | 1,705 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 702 | 428 | $0.00 |
78 more codes
| 90697 | 0% | 748 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,219 | $0.00 |
| 94760 | 0% | 6,020 | $0.00 | |
| 90647 | 0% | 320 | $0.00 | |
| 90651 | 0% | 996 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 8,086 | $0.00 |
| 90680 | 0% | 923 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,322 | $0.00 |
| 3079F | 0% | 384 | $0.00 | |
| 90698 | 0% | 736 | $0.00 | |
| 36410 | 0% | 2,403 | $0.00 | |
| 90619 | 0% | 335 | $0.00 | |
| 1036F | 0% | 350 | $0.00 | |
| 90474 | 0% | 1,274 | $0.00 | |
| 3074F | 0% | 378 | $0.00 | |
| 90656 | 0% | 23 | $0.00 | |
| 90686 | 0% | 1,042 | $0.00 | |
| 96380 | 0% | 16 | $0.00 | |
| 90723 | 0% | 328 | $0.00 | |
| 90744 | 0% | 313 | $0.00 | |
| 87807 | 0% | 334 | $0.00 | |
| 97802 | 0% | 3,360 | $0.00 | |
| 3075F | 0% | 227 | $0.00 | |
| 36406 | 0% | 105 | $0.00 | |
| 1000F | 0% | 421 | $0.00 | |
| 3080F | 0% | 200 | $0.00 | |
| 90677 | 0% | 84 | $0.00 | |
| 96161 | 0% | 168 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 213 | $0.00 |
| 1034F | 0% | 61 | $0.00 | |
| 3014F | 0% | 66 | $0.00 | |
| 3049F | 0% | 14 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 52 | $0.00 |
| 90696 | 0% | 30 | $0.00 | |
| 4000F | 0% | 48 | $0.00 | |
| 3048F | 0% | 82 | $0.00 | |
| 3017F | 0% | 30 | $0.00 | |
| 87210 | 0% | 2,518 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 5,085 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 23,114 | $0.00 |
| 81025 | 0% | 11,581 | $0.00 | |
| 90633 | 0% | 1,049 | $0.00 | |
| 90734 | 0% | 487 | $0.00 | |
| 90710 | 0% | 775 | $0.00 | |
| 99188 | 0% | 174 | $0.00 | |
| 97803 | 0% | 1,370 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 3,037 | $0.00 |
| 99173 | 0% | 8,022 | $0.00 | |
| 90671 | 0% | 573 | $0.00 | |
| 3078F | 0% | 399 | $0.00 | |
| 3511F | 0% | 2,470 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 2,765 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 3,520 | $0.00 |
| 90681 | 0% | 164 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 668 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 4,466 | $0.00 |
| 96160 | 0% | 601 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 4,484 | $0.00 |
| 90670 | 0% | 1,623 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,073 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 330 | $0.00 |
| 3015F | 0% | 206 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 3,587 | $0.00 |
| 3077F | 0% | 454 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 256 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 881 | $0.00 |
| 90672 | 0% | 363 | $0.00 | |
| 81003 | 0% | 305 | $0.00 | |
| 90473 | 0% | 196 | $0.00 | |
| 90621 | 0% | 353 | $0.00 | |
| 90685 | 0% | 182 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 136 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 69 | $0.00 |
| 90715 | 0% | 48 | $0.00 | |
| 3016F | 0% | 509 | $0.00 | |
| 90700 | 0% | 22 | $0.00 | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 256 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 44 | $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 officialMOYER, ALEC (BUSINESS MANAGER)