Providers

ACADIAN DIAGNOSTIC LABORATORIES LLC

NPI 1316370950, organization, Baton Rouge, LA, Clinical Medical Laboratory

1
Evidence tier
documented action, then payment
  • Listed on the CO Medicaid exclusion list since October 16, 2020.
  • Medicaid still paid claims in 5 later months, $9,393 in total.
  • Medicaid dollars per patient on code 80336 ($27 per patient-month) sit in the top 5% of every provider billing that code.
score 98 of 100, rank 28, $9K at stake

Public list actions

Medicare revocation effective September 13, 2023, barred from re-enrolling until September 13, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Independent Clinical Laboratory, LA
Medicare revocation effective September 13, 2023, barred from re-enrolling until September 13, 2033
424.535(a)(3) felonies, Part B Supplier - Independent Clinical Laboratory, FL

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
CO Medicaid exclusion list
state list extracted from https://hcpf.colorado.gov/sites/hcpf/files/terminations%20for%20cause%20ef.%208.7.26.xlsx (pandas claude colmap)
Exact NPI, name verifiedOct 16, 2020still open5Nov 2020Apr 2021$9K$121K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameACADIAN DIAGNOSTIC LABORATORIES LLC
TypeOrganization
StatusActive
NPI issuedAugust 19, 2013, last updated October 25, 2019
Practice location11842 JUSTICE AVE, Baton Rouge, LA 70816-5324, 225-448-5886
Authorized officialTERRY WILKS (CEO/Owner)
Specialties
Clinical Medical Laboratory (291U00000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms$1.9M26%$125$146 (top 5% from $318)41st percentile
G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms$408K6%$130$98 (top 5% from $199)74th percentile
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms$177K3%$82$133 (top 5% from $245)28th percentile
80336Medicaid service code$174K2%$27$12 (top 5% from $23)97th percentile
80372Medicaid service code$169K2%$25$9.92 (top 5% from $21)97th percentile
80367Medicaid service code$169K2%$25$8.24 (top 5% from $19)97th percentile
80373Medicaid service code$169K2%$25$10 (top 5% from $21)97th percentile
80366Medicaid service code$163K2%$24$8.33 (top 5% from $20)98th percentile

In this area

12 providers in East Baton Rouge Parish County, LA carry an indicator in the public record, with $3.1M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by part of a provider network on 5. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1STAT CARE CLINICS
Baton Rouge, LA, ranked 97
$324K
  • Listed on the Medicare revocation list since March 1, 2024.
  • Medicaid still paid claims in 7 later months, $323,783 in total.
3LANE SENIOR CARE LLC
Zachary, LA, ranked 3002
$0
  • Part of provider network D1-00101, ranked 101 nationally.
3LA WESTFORK, LLC
Baton Rouge, LA, ranked 4399
$0
  • Part of provider network D1-00080, ranked 80 nationally.
3LA OLD HAMMOND HWY, LLC
Baton Rouge, LA, ranked 4505
$0
  • Part of provider network D1-00080, ranked 80 nationally.
3HOSPICE IN HIS CARE, LLC
Baton Rouge, LA, ranked 6041
$0
  • Part of provider network D1-00101, ranked 101 nationally.
3SUPERIOR HOME HEALTH CARE INC
Baton Rouge, LA, ranked 6334
$0
  • Part of provider network D1-00101, ranked 101 nationally.
4SUSAN JULIUS
Baton Rouge, LA, ranked 8131
$22K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4TARA DIXON
Baton Rouge, LA, ranked 8195
$889K
  • Hours beyond a day in 21 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
All 12 in LA

Recent enforcement in LA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJOtherJul 30, 2026
Louisiana U.S. Attorneys Highlight Nine Recent Fraud Prosecutions Across the State
A nurse practitioner was sentenced for a health care fraud scheme involving over $12 million in fraudulent Medicare claims for medically unnecessary cancer genetic tests and receipt of kickbacks, and a New Orleans physician was charged with health care fraud for allegedly submitting $5.9 million in fraudulent claims to Medicare, Medicaid, and Humana for care not provided, in-person care for patients outside the state, and claims using other providers' identities.
DOJChargedJun 23, 2026
National Health Care Fraud Takedown Results in 455 Defendants Charged in Fraud Scheme Totaling Over $6.5 Billion
Defendants were charged in connection with schemes to submit claims for medically unnecessary respiratory pathogen panel testing, claims for care a physician did not provide, and false Medicaid claims for personal care services not rendered.
DOJSentencedJun 17, 2026
Nurse Practitioner Sentenced to 87 Months in Prison for $12M Medicare Fraud
A nurse practitioner received kickbacks for signing hundreds of orders for medically unnecessary cancer genetic tests after brief phone calls with patients without examining them, causing over $12.1 million in false and fraudulent claims to Medicare.
DOJSentencedApr 10, 2026
Slidell Doctor Sentenced For $6.6 Million In Health Care Fraud
Tassin, working through purported telemedicine companies, signed doctors' orders for cancer genetic tests for Medicare beneficiaries he never saw, spoke to, or treated, falsely certifying medical necessity in exchange for a set fee of typically $30 per order.
DOJSentencedJan 28, 2026
Slidell Chiropractor Sentenced For Health Care Fraud
Peyroux conspired with others to purchase Medicare beneficiary information and fabricated recordings and billed Medicare through his chiropractic clinic for over-the-counter COVID-19 test kits that were not requested or were otherwise ineligible for reimbursement, falsely listing a former nurse practitioner as the referring provider.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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