Against 23 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$931
−9.2% vs peer median
15th highest of 24 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$16,665,231,244
19th highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
1,164,490
20th highest of 51 states
Most recent CMS monthly report
Visible in claims
19.9%
−5.1% vs peer median
13th highest of 24 similar states
Share of program these claims see
Published figures are FY2024 CMS-64 and CMS enrollment. Claims figures cover 2018–2024.
Public-record research has been run on 31 flagged Louisiana providers, including 1 seeded from the state's enforcement record. Four referrals rest on federal convictions with confirmed exclusions; nine of the thirty-one carry federal exclusions, none with post-exclusion billing. Methodology
CMS T-MSIS data, 2018-2024
Concourse Sentinel connects to large-scale healthcare billing datasets — including CMS T-MSIS claims, provider enrollment (PECOS), and federal exclusion lists — and runs millions of automated statistical analyses to surface billing anomalies and areas warranting further review.
$19.4B
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $2.8B / year
421.6M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 61.7M / year
11.6K
Distinct billing NPIs, Jan 2018 – Oct 2024
315
7 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $3.6B | 25.3M |
| T1015 | Clinic service | $1.5B | 13.8M |
| T1019 | Personal care ser per 15 min | $1.2B | 18.2M |
| 99214 | Office o/p est mod 30 min | $721.0M | 17.1M |
| 99284 | Emergency dept visit mod mdm | $699.5M | 6.3M |
| 99213 | Office o/p est low 20 min | $664.5M | 26.1M |
| H2036 | A/d tx program, per diem | $643.6M | 4.4M |
| H0036 | Comm psy face-face per 15min | $483.0M | 6.3M |
| 99285 | Emergency dept visit hi mdm | $477.1M | 3.8M |
| 99283 | Emergency dept visit low mdm | $470.7M | 5.4M |