Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Louisiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Pediatric Group Of Acadiana, LLC (NPI 1922283225)

Field	Value
Entity Type	Organization
Organization	Pediatric Group Of Acadiana, LLC
Address	1119 N Main St
City	Saint Martinville
State	LA
ZIP	70582
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	January 4, 2008

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

90 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	99,950	$80	$7.9M
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	1,290	$10	$14.2K
G9919	Screening performed and positive and provision of recommendations	130	$10	$1.9K
3044F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	240	$1	$730
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	80	$10	$420
1000F	No Summary found for this code	420	$0	$0
1034F	No Summary found for this code	60	$0	$0
1036F	N/A	350	$0	$0
3014F	Screening mammography is a radiologic procedure for an asymptomatic woman of age 40 years or older to detect early breast cancer. The code includes the interpretation of the results of the procedure…	70	$0	$0
3015F	No Summary found for this code	210	$0	$0

Showing 1–10 of 90

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Louisiana Distribution

Pediatric Group Of Acadiana, LLC — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

90 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	21	810	4,280	$110	$1.8M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,117	2,890	980	$40	$246.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	68	3,230	1,120	$30	$204.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	86	360	780	$50	$141.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	69	420	740	$50	$137.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	861	1,170	160	$80	$102.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	57	490	310	$50	$84.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	457	700	180	$60	$77K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	504	1,280	180	$50	$64.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	34	1,460	440	$20	$64K

Showing 1–10 of 90

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pediatric Group Of Acadiana, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Group Of Acadiana, LLC	LA	Specialist	$0	$57.5M
Pediatric Group Of Acadiana LLC	LA	Rural Health Clinic/Center	$0	$5.6M
Sai Chennamsetty	LA	Internal Medicine Physician	$582.4K	$0
Himani Reddy Manthena	LA	Internal Medicine Physician	$128.6K	$0

Nearby Providers

Other providers in the same ZIP code as Pediatric Group Of Acadiana, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Caring Home Care Services LLC	LA	Home Health Agency	$0	$9.3M
Iberia Comprehensive Community Health Center, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$8.1M
The Arc Of St. Martin, Inc.	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6M
Kayla Sonnier	LA	Nurse Practitioner	$55.5K	$0
Daniel Wiltz	LA	Family Medicine Physician	$14K	$0

Pediatric Group Of Acadiana, LLC — Billing Profile & Reimbursement Data

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Pediatric Group Of Acadiana, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References