Is Provider 1023482825 flagged for Medicaid fraud?

Provider 1023482825 (NPI: 1023482825) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1023482825 bill Medicaid?

Provider 1023482825 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1023482825?

NPI 1023482825 is the National Provider Identifier for Provider 1023482825.. This NPI is registered with the CMS NPI Registry.

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Provider 1023482825

NPI: 1023482825Share

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,804,143

Total Claims

222K

Beneficiaries

36K

6.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018

$1.3M

+10%

2019

$1.5M

-10%

2020

$1.3M

+33%

2021

$1.8M

+16%

2022

$2.0M

-6%

2023

$1.9M

-1%

2024

$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 39% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$4.6M

45K claims

$102.20

$129.75

0.8×

Normal range

H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$4.6M

45K claims · 38.6%

Your Cost: $102.20/claim|Median: $129.75

0.8× median

T1012Alcohol/drug services, skills developmentSee all providers →

$1.9M

33K claims

$57.70

$40.78

1.4×

Normal range

T1012Normal range

Alcohol/drug services, skills development

$1.9M

33K claims · 16.3%

Your Cost: $57.70/claim|Median: $40.78

1.4× median

S9976 See all providers →

$1.8M

65K claims

$28.21

$64.43

0.4×

Normal range

S9976Normal range

$1.8M

65K claims · 15.6%

Your Cost: $28.21/claim|Median: $64.43

0.4× median

H0006Alcohol and/or drug services, case managementSee all providers →

$893K

11K claims

$80.13

$43.10

1.9×

Top 25%

H0006Top 25%

Alcohol and/or drug services, case management

$893K

11K claims · 7.6%

Your Cost: $80.13/claim|Median: $43.10

1.9× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$744K

25K claims

$29.90

$55.04

0.5×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$744K

25K claims · 6.3%

Your Cost: $29.90/claim|Median: $55.04

0.5× median

H2034Alcohol and/or drug abuse halfway house services, per hourSee all providers →

$704K

23K claims

$30.04

$164.03

0.2×

Normal range

H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$704K

23K claims · 6.0%

Your Cost: $30.04/claim|Median: $164.03

0.2× median

90837Psychotherapy, 60 minutesSee all providers →

$643K

7,767 claims

$82.82

$85.66

1.0×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$643K

7,767 claims · 5.4%

Your Cost: $82.82/claim|Median: $85.66

1.0× median

H0001Alcohol and/or drug assessmentSee all providers →

$224K

1,916 claims

$117.04

$94.22

1.2×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$224K

1,916 claims · 1.9%

Your Cost: $117.04/claim|Median: $94.22

1.2× median

H0003 See all providers →

$210K

6,875 claims

$30.60

$13.38

2.3×

Normal range

H0003Normal range

$210K

6,875 claims · 1.8%

Your Cost: $30.60/claim|Median: $13.38

2.3× median

90853Group psychotherapySee all providers →

$66K

2,441 claims

$27.05

$25.02

1.1×

Normal range

90853Normal range

Group psychotherapy

$66K

2,441 claims · 0.6%

Your Cost: $27.05/claim|Median: $25.02

1.1× median

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