Providers
All 9 in LA
MARK DECLOUET, NP
NPI 1386925683, individual, Lafayette, LA, Nurse Practitioner, Psych/Mental Health
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
score 51 of 100, rank 9024, $888K at stake
Public list actions
Medicare revocation effective June 24, 2024, barred from re-enrolling until October 29, 2027
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Nurse Practitioner, LA
OIG exclusion August 20, 2024 under section 1128b4
Ind- Lic HC Serv Pro, Nurse Practitioner (, Lafayette, LA
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 31.3 | 17.6 | 11.8 | 16.0 | 324 | 1 | 90833 99214 99223 99232 | $29K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 27.2 | 17.4 | 11.6 | 15.6 | 357 | 1 | 90792 99214 99223 99232 | $31K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 26.9 | 19.1 | 12.7 | 18.8 | 334 | 1 | 90792 99214 99223 99232 | $32K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 25.6 | 23.0 | 15.3 | 21.6 | 401 | 1 | 99214 99223 99232 | $36K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARK DECLOUET, NP |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | August 31, 2011, last updated December 29, 2020 |
| Practice location | 315 AUDUBON BLVD, Lafayette, LA 70503-2610, 337-522-7573 |
| Mailing address | PO BOX 53709, Lafayette, LA 70505-3709 |
| Specialties | Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license ap08202 LA) |
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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $583K | 55% | $88 | $67 (top 5% from $174) | 69th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $202K | 19% | $84 | $60 (top 5% from $133) | 74th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $198K | 19% | $61 | $81 (top 5% from $170) | 28th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $43K | 4% | $51 | $49 (top 5% from $101) | 52nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $18K | 2% | $84 | $44 (top 5% from $110) | 90th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $11K | 1% | $65 | $128 (top 5% from $249) | 11th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $7K | 1% | $71 | $112 (top 5% from $313) | too few months to rank | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $2K | 0% | $114 | $88 (top 5% from $210) | too few months to rank |
In this area
9 providers in Lafayette Parish County, LA carry an indicator in the public record, with $2.9M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ANGEL CARE HOSPICE, INC. Lafayette, LA, ranked 565 | $0 |
|
| 3 | COMMUNITY HOME HEALTH OF ACADIANA LLC Lafayette, LA, ranked 1960 | $0 |
|
| 3 | SOUTHERN GRACE HOSPICE WEST LLC Lafayette, LA, ranked 2568 | $0 |
|
| 3 | CONCEPTS OF CARE HOME HEALTH, LLC Lafayette, LA, ranked 4868 | $0 |
|
| 3 | COMMUNITY HOSPICE CARE LLC Lafayette, LA, ranked 5245 | $0 |
|
| 3 | TRADITIONS HOSPICE OF LAFAYETTE, LLC Lafayette, LA, ranked 6754 | $0 |
|
| 4 | ANGELA LEGE Lafayette, LA, ranked 8231 | $464K |
|
| 4 | BRETT THIBODEAUX Lafayette, LA, ranked 8867 | $14K |
|
Recent enforcement in LA
All releasesDepartment 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.