Clinic
Aca Clinic
Aca Clinic was paid $18K by Medicaid between Dec 2020 and Jun 2022, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.
33Billing provider infoACA CLINIC
PLAQUEMINE, LA 70764
PLAQUEMINE, LA 70764
33aNPI1922591080assigned 06/12/2018
33bProvider typeHealth Service Clinic/Center
28Total paid$18K
24GClaims533
24DCodes billed2
24AFirst – last monthDec 2020 – Jun 2022
Compared with peers
Next to other Health Service Clinic/Center providers in Louisiana
Rank by total paid#11 of 16
Median peer was paid$95K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 55 | $2K | |
| 2021 | 346 | $11K | |
| 2022 | 132 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 94% | 499 | 290 | $17K |
| 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 | 5.7% | 34 | 15 | $1K |
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 officialPRUITT, ANDREA (NURSE PRACTITIONER)