Loading...
NPI 1316943566 · Lafayette, LA · Air Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Acadian Ambulance Service, Inc. is a air ambulance provider located in Lafayette, Louisiana. This profile covers 9 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Acadian Ambulance Service, Inc. |
| Address | 130 E Kaliste Saloom Rd |
| City | Lafayette |
| State | LA |
| ZIP | 70508 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | June 22, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $422.7M |
| Medicare | $38.7M |
ACADIAN AMBULANCE SERVICE operates a high-volume emergency and non-emergency transport business that clearly includes both ground and rotor‑wing air services: Medicare billing shows large volumes for A0427 (42.1K claims, $366 avg paid/claim, $15.4M revenue) and A0425 (1.2M claims, $7 avg paid/claim, $8.1M revenue), while Medicaid billing includes massive volumes for A0427 (635.4K claims, $261 avg paid/claim, $165.8M revenue), A0431 (18K claims, $1996 avg paid/claim, $35.8M revenue) and A0436 (17.9K claims, $1066 avg paid/claim, $19.1M revenue). The presence of A0427/A0425 and rotor‑wing codes A0431/A0436 plus specialty care transport A0434 indicates an operator providing both routine ALS/BLS ground transfers and substantial rotary‑wing interfacility and high‑acuity transports.
Revenue concentration in Medicare is highly focused: the precomputed top‑three Medicare codes (A0427, A0425, A0428) account for 74.3% of this provider's total Medicare revenue. Those top codes individually generate material sums (for example, A0427 at $15.4M, A0425 at $8.1M and A0428 at $5.2M), signaling that a small set of transport services drives the bulk of Medicare proceeds for this provider.
Medicaid revenue is likewise highly concentrated: the precomputed top‑three Medicaid codes account for 71.8% of total Medicaid revenue, with A0427 ($165.8M), A0425 ($100.3M) and A0429 ($37.7M) together representing the dominant revenue lines. This concentration indicates Medicaid reimbursements are largely coming from intensive ground ALS emergency transports, ground mileage and BLS emergency transports.
The payer mix is heavily skewed toward Medicaid by scale: total Medicaid revenue is $422.7M versus total Medicare revenue of $38.7M, making Medicaid the primary payer supporting this provider's operations. Analysts should treat this as a Medicaid‑driven business where Medicaid policy and reimbursement changes will have outsized financial impact.
ACADIAN is a clear competitive leader for its top ground transport codes at the national and state levels: for Medicare it ranks #1 of 6841 providers on A0427 and #1 of 8934 providers on A0425 (both labeled "extreme outlier" at the 100th percentile), and it also ranks in the top percentiles for A0428 and other core ambulance codes. Those national rankings for core ALS and mileage codes characterize the provider as an exceptionally high‑volume national outlier on those services.
Within Louisiana Medicaid, the provider is dominant across many ambulance codes: it ranks #1 in‑state for A0427, A0425, A0429, A0428, A0431 and A0436 (multiple entries at the 100th percentile, several described as "extreme outlier" or "notably above typical"). This statewide leadership across both ground and air codes implies a market position as the principal Medicaid ambulance supplier in its region.
Several service lines are statistical outliers, underscoring specialty and high‑acuity capacity: A0434 (specialty care transport) is an "extreme outlier" for Medicare (rank #6 of 591, 99th percentile) and is also notably high in Medicaid, while multiple disposable supply codes (A0398, A0394, A0382) rank as extreme outliers in Medicaid. These patterns point to substantial usage of specialized clinical supplies and coordinated high‑acuity transports beyond basic ambulance runs.
The provider has longstanding operational presence with an NPI enumerated on 2005-06-22 (~21 years ago), and the combination of two decades of tenure plus exceptionally large Medicaid and significant Medicare volumes suggests an entrenched regional operator with mature service lines in both ground ALS/BLS and rotor‑wing air transport.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 42,080 | $370 | $15.4M |
| A0425 | Ground mileage, per statute mile | 1,154,640 | $10 | $8.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 28,280 | $180 | $5.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13,450 | $310 | $4.1M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 760 | $3,740 | $2.8M |
| A0436 | Rotary wing air mileage, per statute mile | 52,150 | $30 | $1.3M |
| A0434 | Specialty care transport (sct) | 1,150 | $630 | $727K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,290 | $230 | $531K |
| A0433 | Advanced life support, level 2 (als 2) | 720 | $530 | $381.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 635,420 | $260 | $165.8M |
| A0425 | Ground mileage, per statute mile | 1,355,000 | $70 | $100.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 265,310 | $140 | $37.7M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 17,960 | $2,000 | $35.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 421,980 | $80 | $32.1M |
| A0436 | Rotary wing air mileage, per statute mile | 17,890 | $1,070 | $19.1M |
| A0398 | Als routine disposable supplies | 455,100 | $20 | $8.6M |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 215,620 | $30 | $6.3M |
| A0434 | Specialty care transport (sct) | 21,400 | $220 | $4.6M |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 73,370 | $60 | $4.4M |
Showing 1–10 of 22
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
22 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 50 | 3,110 | $250 | $5.8M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1 | 10 | 260 | $2,020 | $4.3M |
| A0425 | Ground mileage, per statute mile | 1 | 60 | 5,300 | $60 | $2.9M |
| A0436 | Rotary wing air mileage, per statute mile | 1 | 10 | 250 | $1,100 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 30 | 5,040 | $70 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 40 | 2,720 | $140 | $1.8M |
| A0434 | Specialty care transport (sct) | 1 | 10 | 280 | $220 | $998K |
| A0398 | Als routine disposable supplies | 1 | 20 | 5,100 | $20 | $547.2K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 1,040 | $260 | $540.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 1 | 20 | 2,690 | $30 | $507.3K |
Showing 1–10 of 22
Other providers in the same ZIP code as Acadian Ambulance Service, Inc., ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.