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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Acadian Ambulance Service, Inc.
⚕️
Organization

Acadian Ambulance Service, Inc.

NPI: 1316943566
Lafayette, LA
10 years of data
Ambulance Service Provider
$401.5M
Total Payments
86
Beneficiaries
14.8M
Services
5.37x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$401.5M
Specialty median$479.2K
Rank #2 of 218 in specialty

📋 Key Findings

1Billed $401.5M over 10 years
25.37x markup ratio (above median)
3Risk score: 80 — flagged for review
499th percentile in Ambulance Service Provider by payments
59 procedures with >3x markup

⚠️ Flagged for Review

Risk Score: 80
  • 283x specialty median spending
  • Markup 7.5x (specialty median: 2.6x)
  • 273x specialty median beneficiaries
  • 373x specialty median services
View Deep Dives →Report Fraud →

Statistical flag only — not an accusation of fraud

🔎 Data Analysis

This provider's $401.5M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.

Their average markup ratio of 5.37x is significantly above the specialty median of 4.1x.

This provider has been statistically flagged with a risk score of 80/100. Statistical flags are not accusations of fraud.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$117.61$26.774.39x$90.84$52.3M2.0M9
2015$124.95$27.134.61x$97.82$39.6M1.5M9
2016$130.13$26.904.84x$103.23$37.5M1.4M9
2017$133.20$26.365.05x$106.84$38.4M1.5M8
2018$140.21$26.725.25x$113.49$38.2M1.4M8
2019$148.21$27.775.34x$120.44$40.7M1.5M9
2020$146.27$26.395.54x$119.88$40.8M1.5M8
2021$159.68$26.626.00x$133.06$37.8M1.4M8
2022$177.05$27.566.42x$149.49$37.3M1.4M9
2023$199.39$29.906.67x$169.49$38.7M1.3M9

Top Procedures (9)

A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)⚠ 5.5x markup
$173.1M
540.9K services$319.96/svc5.54x markup
A0425Ground mileage, per statute mile⚠ 4.0x markup
$84.5M
13.3M services$6.36/svc3.99x markup
A0428Ambulance service, basic life support, non-emergency transport, (bls)⚠ 5.8x markup
$53.1M
325.9K services$163.07/svc5.78x markup
A0429Ambulance service, basic life support, emergency transport (bls-emergency)⚠ 5.6x markup
$36.4M
135.3K services$269.07/svc5.58x markup
A0431Ambulance service, conventional air services, transport, one way (rotary wing)⚠ 5.5x markup
$23.9M
7.1K services$3.4K/svc5.53x markup
A0436Rotary wing air mileage, per statute mile⚠ 8.4x markup
$9.6M
418.4K services$22.92/svc8.45x markup
A0434Specialty care transport (sct)⚠ 6.0x markup
$9.6M
17.4K services$548.06/svc5.97x markup
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)⚠ 8.5x markup
$6.0M
29.4K services$203.43/svc8.53x markup
A0433Advanced life support, level 2 (als 2)⚠ 5.6x markup
$5.2M
11.4K services$460.80/svc5.61x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)540.9K$173.1M$319.965.54x
A0425Ground mileage, per statute mile13.3M$84.5M$6.363.99x
A0428Ambulance service, basic life support, non-emergency transport, (bls)325.9K$53.1M$163.075.78x
A0429Ambulance service, basic life support, emergency transport (bls-emergency)135.3K$36.4M$269.075.58x
A0431Ambulance service, conventional air services, transport, one way (rotary wing)7.1K$23.9M$3.4K5.53x
A0436Rotary wing air mileage, per statute mile418.4K$9.6M$22.928.45x
A0434Specialty care transport (sct)17.4K$9.6M$548.065.97x
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)29.4K$6.0M$203.438.53x
A0433Advanced life support, level 2 (als 2)11.4K$5.2M$460.805.61x

Markup Analysis

Charge-to-Payment Ratio

5.37x

This provider submits charges 5.37 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.37x means for every $100 Medicare pays, this provider initially charges $537. This is higher than the national average.

Location

Lafayette, LA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulance Service Provider providers in LA for peer comparison.

Acadian Ambulance Service, Inc. (you)
$401.5M
Pafford Emergency Medical Services, Inc.
$39.2M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Pafford Emergency Medical Services, Inc.Ruston, LA$39.2M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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