Acadian Ambulance Service Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $73.82 per claim for A0425 (Ground mileage, per statute mile), which is 3.2× the national median of $23.36.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: A0422 at 6.2× median, A0130 at 7.5× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $73.82 per claim for A0425 (Ground mileage, per statute mile) — 3.2× the national median of $23.36.
Bills $59.68 per claim for A0422 — 6.2× the national median of $9.63.
Bills $220.78 per claim for A0130 (Non-emergency wheelchair van transport) — 7.5× the national median of $29.37.
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Total Paid
$422.7M
$422,725,254
Total Claims
3.7M
Beneficiaries
2.6M
1.4 claims/patient
Avg Cost/Claim
$114
#149 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Acadian Ambulance Service Inc. is a Ambulance Air Transport provider based in Lafayette, LA. From the 2018–2024 period, this provider received $422.7M in Medicaid payments across 3.7M claims.
Why This Matters
This provider received $422.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 52,840 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 22 distinct procedure codes. The top code (A0427 (Ambulance, ALS emergency transport Level 1)) accounts for 39% of total spending.
$166.0M
635K claims
$261.18
$164.22
Ambulance, ALS emergency transport Level 1
$166.0M
635K claims · 39.3%
Ground mileage, per statute mile
$100.0M
1.4M claims · 23.7%
$37.7M
265K claims
$142.07
$138.19
Ambulance, BLS emergency transport
$37.7M
265K claims · 8.9%
$35.8M
18K claims
$1,995.59
$1,650.68
Ambulance service, conventional air, transport, one way
$35.8M
18K claims · 8.5%
$32.0M
422K claims
$75.93
$58.05
Ambulance service, BLS, non-emergency transport
$32.0M
422K claims · 7.6%
$19.1M
18K claims
$1,066.48
$705.08
ALS mileage, per mile, level 2
$19.1M
18K claims · 4.5%
$8.5M
455K claims · 2.0%
$6.2M
216K claims · 1.5%
$4.6M
21K claims
$217.22
$252.36
Ambulance, specialty care transport
$4.6M
21K claims · 1.1%
$4.4M
73K claims · 1.0%
$2.9M
10K claims · 0.7%
$2.4M
27K claims
$87.06
$104.69
Ambulance service, ALS, non-emergency transport, level 1
$2.4M
27K claims · 0.6%
$2.3M
181K claims · 0.6%
Non-emergency wheelchair van transport
$667K
3K claims · 0.2%
BLS mileage, per mile
$27K
1K claims · 0.0%
Unlisted ambulance service
$525
914 claims · 0.0%
$128
1K claims · 0.0%
$77
1K claims
$0.05
$7.50
Electrocardiogram, tracing only, without interpretation
$77
1K claims · 0.0%
$0
6K claims · 0.0%
$0
513 claims
$0.00
$0.79
Pulse oximetry, single reading, noninvasive
$0
513 claims · 0.0%
$0
17 claims
$0.00
$0.58
Injection, ondansetron HCl, per one milligram
$0
17 claims · 0.0%
$0
200 claims · 0.0%
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