Louisiana's 11,495 Medicaid providers billed $19.38B between 2018 and 2024. The most-billed code is S5125, accounting for $3.55B in payments. Baton Rouge is the largest Medicaid billing hub in the state. 9 providers in LA appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| S5125 | Attendant care services; per 15 minutes | $3.55B |
| T1015 | Clinic visit/encounter, all-inclusive | $1.47B |
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $1.18B |
BATON ROUGE ($2.24B) NEW ORLEANS ($2.05B) LAFAYETTE ($1.82B) SHREVEPORT ($1.45B) MONROE ($1.02B) LAKE CHARLES ($638.82M) HOUMA ($568.58M) ALEXANDRIA ($518.16M) METAIRIE ($487.81M) HAMMOND ($422.27M) NEW IBERIA ($331.73M) RUSTON ($279.51M) THIBODAUX ($263.41M) GRETNA ($253.18M) SLIDELL ($236.87M) OPELOUSAS ($235.62M) COVINGTON ($217.48M) KENNER ($207.69M) WEST MONROE ($195.59M) MARRERO ($188.16M) BOSSIER CITY ($177.69M) PINEVILLE ($164.27M) NATCHITOCHES ($156.89M) VILLE PLATTE ($142.99M) RAYVILLE ($137.31M) HARAHAN ($122.23M) BREAUX BRIDGE ($121.42M) BASTROP ($115.66M) TALLULAH ($110.63M) CHURCH POINT ($109.78M) MINDEN ($108.10M) MARKSVILLE ($97.96M) ETHEL ($97.03M) GONZALES ($96.80M) DENHAM SPRINGS ($94.95M) BOGALUSA ($89.02M) CHALMETTE ($87.41M) MANDEVILLE ($86.27M) HARVEY ($83.61M) CROWLEY ($82.82M) MORGAN CITY ($80.88M) LA PLACE ($80.81M) LEESVILLE ($77.29M) WINNSBORO ($75.68M) FRANKLINTON ($73.89M) SULPHUR ($71.31M) ABBEVILLE ($70.88M) BAKER ($67.67M) ZACHARY ($67.44M) JONESBORO ($66.19M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | THE ARC OF IBERIA | $72.52M | single-code billing |
| 2 | A-1 ABSOLUTE BEST CARE | $52.08M | single-code billing |
| 3 | CARE SOLUTIONS, INC. | $49.84M | single-code billing |
| 4 | CARE INC | $46.63M | single-code billing |
| 5 | LAFOURCHE ARC | $41.66M | single-code billing |
| 6 | THE ARC CADDO BOSSIER | $37.28M | single-code billing |
| 7 | LEADING HEALTH CARE OF LA | $37.24M | single-code billing |
| 8 | LEADING HEALTH CARE OF LA | $36.73M | single-code billing |
| 9 | UNION PARISH SERVICES | $34.70M | single-code billing |
| 10 | SERENITY SQUARE LLC | $33.08M | single-code billing |
| 11 | NEW DAY PERSONAL CARE SERVICES | $28.47M | single-code billing |
| 12 | HOME-CARE PCA, INC. | $28.21M | single-code billing |
| 13 | SHARE CARE USA | $27.45M | single-code billing |
| 14 | WE CARE HOMES INC | $27.18M | single-code billing |
| 15 | ST. MATTHEW'S DIRECT CARE SERVICE | $26.95M | single-code billing |
| 16 | SOUTHERN INGENUITY INC | $25.82M | single-code billing |
| 17 | KELLIES SITTING SERVICES, INC. | $25.07M | single-code billing |
| 18 | L & D COMMUNITY CARE, INC | $24.31M | single-code billing |
| 19 | VOLUNTEERS OF AMERICA OF NORTH LOUISIANA | $24.26M | single-code billing |
| 20 | ASSOCIATION FOR RETARDED CITIZENS | $24.25M | single-code billing |
| 21 | LOUISIANA HEALTH & REHABILITATION COPTIONS | $23.80M | single-code billing |
| 22 | OPTIONS INC | $23.04M | single-code billing |
| 23 | SPECIAL NEEDS UNLIMITED, L.L.C. | $22.32M | 53 claims/bene · single-code billing |
| 24 | ACE CARE GIVING SERVICES CENTRAL | $22.01M | single-code billing |
| 25 | ALTERNATIVE HOME CARE SPECIALISTS, INC. | $21.97M | single-code billing |