Physician
Acadiana Renal Physicians Amc
Acadiana Renal Physicians Amc was paid $1.36M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 31% of everything it billed.
33Billing provider infoACADIANA RENAL PHYSICIANS AMC
LAFAYETTE, LA 70506
LAFAYETTE, LA 70506
33aNPI1992747349assigned 06/11/2006
33bProvider typeNephrology Physician
28Total paid$1.36M
24GClaims100,471
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in Louisiana
Rank by total paid#3 of 56
Median peer was paid$52K
This provider vs. median26×
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 | 16,879 | $189K | |
| 2019 | 21,152 | $226K | |
| 2020 | 14,128 | $164K | |
| 2021 | 13,173 | $157K | |
| 2022 | 13,919 | $202K | |
| 2023 | 11,782 | $218K | |
| 2024incomplete | 9,438 | $199K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 31% | 17,847 | 15,995 | $418K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 29% | 24,725 | 10,726 | $395K |
| 90961 | 7.9% | 4,852 | 4,298 | $108K | |
| 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 | 7.9% | 5,213 | 4,499 | $107K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.8% | 3,868 | 3,178 | $92K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 6.0% | 11,324 | 4,730 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 5,180 | 4,532 | $68K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 4.7% | 5,654 | 3,145 | $64K |
| 99223 | Prolong inpt eval add15 m | <1% | 274 | 251 | $8K |
| 82570 | <1% | 4,313 | 3,347 | $7K | |
| 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 | <1% | 64 | 46 | $3K |
| 81003 | <1% | 4,308 | 3,261 | $2K |
21 more codes
| 90962 | <1% | 66 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 18 | $849.30 |
| 90966 | <1% | 12 | $465.00 | |
| 99221 | <1% | 30 | $375.12 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 29 | $165.07 |
| 99442 | <1% | 129 | $41.41 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 686 | $29.25 |
| 1036F | 0% | 1,744 | $0.00 | |
| 1123F | 0% | 1,930 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,199 | $0.00 |
| G9231 | Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period | 0% | 32 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 27 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 23 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 294 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,006 | $0.00 |
| 4040F | 0% | 980 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,761 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 696 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,034 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 99 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 54 | $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 officialLAMARCHE, MAXIMO (OWNER/PRESIDENT)