Is VERIDIAN FISCAL SOLUTIONS LLC flagged for Medicaid fraud?

VERIDIAN FISCAL SOLUTIONS LLC (NPI: 1033706437) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does VERIDIAN FISCAL SOLUTIONS LLC bill Medicaid?

VERIDIAN FISCAL SOLUTIONS LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in WATERLOO, IA.

What is NPI 1033706437?

NPI 1033706437 is the National Provider Identifier for VERIDIAN FISCAL SOLUTIONS LLC. They are a Community/Behavioral Health provider based in WATERLOO, IA. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

VERIDIAN FISCAL SOLUTIONS LLC

Community/Behavioral Health·WATERLOO, IA·NPI: 1033706437Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-08→2024-11(76 months)

Total Paid

$47.0M

$47,048,305

Total Claims

133K

Beneficiaries

30K

4.5 claims/patient

Avg Cost/Claim

$354

Monthly Spending Trend

Yearly Spending

2018

$1.4M

+295%

2019

$5.6M

+19%

2020

$6.6M

+4%

2021

$6.9M

-32%

2022

$4.7M

+104%

2023

$9.6M

+29%

2024

$12.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (S5126 (Attendant care services, per diem)) accounts for 66% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S5126Attendant care services, per diemSee all providers →

$30.9M

88K claims

$352.03

$156.98

2.2×

Normal range

S5126Normal range

Attendant care services, per diem

$30.9M

88K claims · 65.7%

Your Cost: $352.03/claim|Median: $156.98

2.2× median

W0560 See all providers →

$12.7M

36K claims

$353.94

$235.08

1.5×

Top 1%

W0560Top 1%

$12.7M

36K claims · 26.9%

Your Cost: $353.94/claim|Median: $235.08

1.5× median

T2028Specialized supply, NOS; per unitSee all providers →

$1.4M

864 claims

$1,590.58

$79.30

20.1×

Top 5%

T2028Top 5%

Specialized supply, NOS; per unit

$1.4M

864 claims · 2.9%

Your Cost: $1,590.58/claim|Median: $79.30

20.1× median

S5151Unskilled respite care, per diemSee all providers →

$1.2M

5,695 claims

$204.29

$249.18

0.8×

Normal range

S5151Normal range

Unskilled respite care, per diem

$1.2M

5,695 claims · 2.5%

Your Cost: $204.29/claim|Median: $249.18

0.8× median

W0550 See all providers →

$627K

734 claims

$853.84

$600.23

1.4×

Top 1%

W0550Top 1%

$627K

734 claims · 1.3%

Your Cost: $853.84/claim|Median: $600.23

1.4× median

W0570 See all providers →

$254K

1,840 claims

$137.95

$110.43

1.2×

Top 1%

W0570Top 1%

$254K

1,840 claims · 0.5%

Your Cost: $137.95/claim|Median: $110.43

1.2× median

S5131Homemaker service, NOS, per diemSee all providers →

$38K

145 claims

$261.96

$102.01

2.6×

Normal range

S5131Normal range

Homemaker service, NOS, per diem

$38K

145 claims · 0.1%

Your Cost: $261.96/claim|Median: $102.01

2.6× median

W0635 See all providers →

$22K

198 claims

$113.18

1.0×

Top 1%

W0635Top 1%

$22K

198 claims · 0.0%

Your Cost: $113.18/claim|Median: $113.18

1.0× median

Other Top Providers in Iowa

View all →

Purfoods LLC

Home Delivered Meals

$910.6M

Systems Unlimited Inc.

Day Training Developmentally Disabled Services

$244.8M

Dac, INC

Community/Behavioral Health

$189.7M

Mosaic

Community Based Residential Treatment Facility In

$177.4M

Rescare, INC

Community/Behavioral Health

$171.0M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providers All providers in Iowa →How we detect fraud →