Is Provider 1003872862 flagged for Medicaid fraud?

Provider 1003872862 (NPI: 1003872862) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1003872862 bill Medicaid?

Provider 1003872862 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1003872862?

NPI 1003872862 is the National Provider Identifier for Provider 1003872862.. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Provider 1003872862

NPI: 1003872862Share

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.1M

$8,104,469

Total Claims

86K

Beneficiaries

26K

3.3 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018

$24K

+837%

2019

$228K

+98%

2020

$452K

+261%

2021

$1.6M

+56%

2022

$2.5M

-52%

2023

$1.2M

+63%

2024

$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (T1031 (Nursing care, in the home, by LPN, per diem)) accounts for 40% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1031Nursing care, in the home, by LPN, per diemSee all providers →

$3.3M

40K claims

$81.17

$80.56

1.0×

Normal range

T1031Normal range

Nursing care, in the home, by LPN, per diem

$3.3M

40K claims · 40.4%

Your Cost: $81.17/claim|Median: $80.56

1.0× median

S9131Physical therapy, in the home, per diemSee all providers →

$2.1M

18K claims

$115.52

$90.35

1.3×

Top 25%

S9131Top 25%

Physical therapy, in the home, per diem

$2.1M

18K claims · 26.1%

Your Cost: $115.52/claim|Median: $90.35

1.3× median

T1030Nursing care, in the home, by RN, per diemSee all providers →

$1.7M

14K claims

$120.20

$85.62

1.4×

Top 25%

T1030Top 25%

Nursing care, in the home, by RN, per diem

$1.7M

14K claims · 21.3%

Your Cost: $120.20/claim|Median: $85.62

1.4× median

S9129OT, in the home, per diemSee all providers →

$503K

3,676 claims

$136.74

$76.61

1.8×

Top 25%

S9129Top 25%

OT, in the home, per diem

$503K

3,676 claims · 6.2%

Your Cost: $136.74/claim|Median: $76.61

1.8× median

G0157Services of PT assistant in home health, per 15 minSee all providers →

$162K

1,212 claims

$133.68

$43.94

3.0×

Top 10%

G0157Top 10%

Services of PT assistant in home health, per 15 min

$162K

1,212 claims · 2.0%

Your Cost: $133.68/claim|Median: $43.94

3.0× median

97163PT evaluation, high complexitySee all providers →

$112K

1,494 claims

$75.13

$50.34

1.5×

Top 25%

97163Top 25%

PT evaluation, high complexity

$112K

1,494 claims · 1.4%

Your Cost: $75.13/claim|Median: $50.34

1.5× median

T1001Nursing assessment/evaluation, per visitSee all providers →

$103K

1,754 claims

$58.98

$49.05

1.2×

Normal range

T1001Normal range

Nursing assessment/evaluation, per visit

$103K

1,754 claims · 1.3%

Your Cost: $58.98/claim|Median: $49.05

1.2× median

S9127Social work visit, in the home, per diemSee all providers →

$49K

658 claims

$73.84

$98.75

0.7×

Normal range

S9127Normal range

Social work visit, in the home, per diem

$49K

658 claims · 0.6%

Your Cost: $73.84/claim|Median: $98.75

0.7× median

97167OT evaluation, high complexitySee all providers →

$26K

172 claims

$149.13

$70.96

2.1×

Top 10%

97167Top 10%

OT evaluation, high complexity

$26K

172 claims · 0.3%

Your Cost: $149.13/claim|Median: $70.96

2.1× median

T1002RN services, per 15 minutesSee all providers →

$15K

482 claims

$31.65

$37.42

0.8×

Normal range

T1002Normal range

RN services, per 15 minutes

$15K

482 claims · 0.2%

Your Cost: $31.65/claim|Median: $37.42

0.8× median

T1021Home health aide visit, per 15 minSee all providers →

$15K

212 claims

$70.00

$44.79

1.6×

Normal range

T1021Normal range

Home health aide visit, per 15 min

$15K

212 claims · 0.2%

Your Cost: $70.00/claim|Median: $44.79

1.6× median

G0158Services of OT assistant in home health, per 15 minSee all providers →

$7K

50 claims

$135.00

$52.84

2.6×

Top 10%

G0158Top 10%

Services of OT assistant in home health, per 15 min

$7K

50 claims · 0.1%

Your Cost: $135.00/claim|Median: $52.84

2.6× median

1HA11 See all providers →

$5K

551 claims

$8.49

1.0×

Normal range

1HA11Normal range

$5K

551 claims · 0.1%

Your Cost: $8.49/claim|Median: $8.49

1.0× median

3CA11 See all providers →

45 claims

$0.00

—

3CA11

45 claims · 0.0%

1AA11 See all providers →

16 claims

$0.00

$5.63

—

Normal range

1AA11Normal range

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.63

1CA11 See all providers →

124 claims

$0.00

—

1CA11

124 claims · 0.0%

1IA11 See all providers →

285 claims

$0.00

—

1IA11

285 claims · 0.0%

1CA21 See all providers →

103 claims

$0.00

—

1CA21

103 claims · 0.0%

Q5001Injection, filgrastim-sndz, biosimilar, 1 mcgSee all providers →

13 claims

$0.00

$23.43

—

Normal range

Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43

3CA31 See all providers →

23 claims

$0.00

—

3CA31

23 claims · 0.0%

1BA11 See all providers →

444 claims

$0.00

—

1BA11

444 claims · 0.0%

3CC11 See all providers →

45 claims

$0.00

—

3CC11

45 claims · 0.0%

0023 See all providers →

973 claims

$0.00

$5.53

—

Normal range

0023Normal range

973 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.53

1JA11 See all providers →

75 claims

$0.00

—

1JA11

75 claims · 0.0%

3CA21 See all providers →

347 claims

$0.00

—

3CA21

347 claims · 0.0%

3EA11 See all providers →

23 claims

$0.00

—

3EA11

23 claims · 0.0%

1KA11 See all providers →

16 claims

$0.00

—

1KA11

16 claims · 0.0%

1EA11 See all providers →

742 claims

$0.00

—

1EA11

742 claims · 0.0%

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