Is VINFEN CORPORATION flagged for Medicaid fraud?

VINFEN CORPORATION (NPI: 1225168271) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does VINFEN CORPORATION bill Medicaid?

VINFEN CORPORATION received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in CAMBRIDGE, MA.

What is NPI 1225168271?

NPI 1225168271 is the National Provider Identifier for VINFEN CORPORATION. They are a Community/Behavioral Health provider based in CAMBRIDGE, MA. This NPI is registered with the CMS NPI Registry.

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VINFEN CORPORATION

Community/Behavioral Health·CAMBRIDGE, MA·NPI: 1225168271Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $58.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$58.0M

$58,031,584

Total Claims

487K

Beneficiaries

56K

8.7 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2018

$5.9M

+5%

2019

$6.2M

-17%

2020

$5.1M

+16%

2021

$5.9M

+21%

2022

$7.2M

+92%

2023

$13.8M

+1%

2024

$13.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (S5102 (Day care services, adult; per 15 min)) accounts for 46% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S5102Day care services, adult; per 15 minSee all providers →

$26.7M

181K claims

$147.71

$81.10

1.8×

Top 25%

S5102Top 25%

Day care services, adult; per 15 min

$26.7M

181K claims · 46.1%

Your Cost: $147.71/claim|Median: $81.10

1.8× median

H2014Skills training & development, per 15 minSee all providers →

$14.8M

39K claims

$380.99

$83.88

4.5×

Top 10%

H2014Top 10%

Skills training & development, per 15 min

$14.8M

39K claims · 25.5%

Your Cost: $380.99/claim|Median: $83.88

4.5× median

H0040Assertive community treatment, face-to-face, per 15 minutesSee all providers →

$5.4M

147K claims

$36.98

$266.41

0.1×

Normal range

H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$5.4M

147K claims · 9.4%

Your Cost: $36.98/claim|Median: $266.41

0.1× median

T1019Personal care services, per 15 minSee all providers →

$4.1M

48K claims

$85.02

$82.47

1.0×

Normal range

T1019Normal range

Personal care services, per 15 min

$4.1M

48K claims · 7.0%

Your Cost: $85.02/claim|Median: $82.47

1.0× median

T1040Medicaid certified CCBHC servicesSee all providers →

$2.3M

11K claims

$212.32

$130.29

1.6×

Normal range

T1040Normal range

Medicaid certified CCBHC services

$2.3M

11K claims · 4.0%

Your Cost: $212.32/claim|Median: $130.29

1.6× median

S5101Day care services, adult, per half daySee all providers →

$1.8M

27K claims

$67.70

$66.43

1.0×

Normal range

S5101Normal range

Day care services, adult, per half day

$1.8M

27K claims · 3.2%

Your Cost: $67.70/claim|Median: $66.43

1.0× median

S9485Crisis intervention mental health services, per diemSee all providers →

$1000K

1,303 claims

$767.37

$501.33

1.5×

Normal range

S9485Normal range

Crisis intervention mental health services, per diem

$1000K

1,303 claims · 1.7%

Your Cost: $767.37/claim|Median: $501.33

1.5× median

T1001Nursing assessment/evaluation, per visitSee all providers →

$604K

4,783 claims

$126.18

$49.05

2.6×

Top 25%

T1001Top 25%

Nursing assessment/evaluation, per visit

$604K

4,783 claims · 1.0%

Your Cost: $126.18/claim|Median: $49.05

2.6× median

90834Psychotherapy, 45 minutesSee all providers →

$385K

6,526 claims

$58.95

$63.65

0.9×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$385K

6,526 claims · 0.7%

Your Cost: $58.95/claim|Median: $63.65

0.9× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$189K

2,587 claims

$73.07

$215.80

0.3×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$189K

2,587 claims · 0.3%

Your Cost: $73.07/claim|Median: $215.80

0.3× median

H2015Comprehensive community support services, per 15 minSee all providers →

$157K

2,873 claims

$54.49

$96.24

0.6×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$157K

2,873 claims · 0.3%

Your Cost: $54.49/claim|Median: $96.24

0.6× median

H2016Comprehensive community support services, per 15 minSee all providers →

$112K

4,551 claims

$24.72

$321.53

0.1×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$112K

4,551 claims · 0.2%

Your Cost: $24.72/claim|Median: $321.53

0.1× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$102K

3,016 claims

$33.80

$53.41

0.6×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$102K

3,016 claims · 0.2%

Your Cost: $33.80/claim|Median: $53.41

0.6× median

90832Psychotherapy, 30 minutesSee all providers →

$88K

3,372 claims

$26.16

$41.28

0.6×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$88K

3,372 claims · 0.2%

Your Cost: $26.16/claim|Median: $41.28

0.6× median

90837Psychotherapy, 60 minutesSee all providers →

$76K

2,330 claims

$32.44

$85.66

0.4×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$76K

2,330 claims · 0.1%

Your Cost: $32.44/claim|Median: $85.66

0.4× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$54K

1,250 claims

$43.52

$37.81

1.2×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$54K

1,250 claims · 0.1%

Your Cost: $43.52/claim|Median: $37.81

1.2× median

90791Psychiatric diagnostic evaluationSee all providers →

$32K

659 claims

$48.58

$99.21

0.5×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$32K

659 claims · 0.1%

Your Cost: $48.58/claim|Median: $99.21

0.5× median

90887Interpretation/explanation of resultsSee all providers →

$4K

105 claims

$42.12

$47.55

0.9×

Normal range

90887Normal range

Interpretation/explanation of results

$4K

105 claims · 0.0%

Your Cost: $42.12/claim|Median: $47.55

0.9× median

99212Office/outpatient visit, low complexitySee all providers →

$924

29 claims

$31.88

$25.06

1.3×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$924

29 claims · 0.0%

Your Cost: $31.88/claim|Median: $25.06

1.3× median

99205Office/outpatient visit, new patient, high complexitySee all providers →

$672

71 claims

$9.47

$111.09

0.1×

Normal range

99205Normal range

Office/outpatient visit, new patient, high complexity

$672

71 claims · 0.0%

Your Cost: $9.47/claim|Median: $111.09

0.1× median

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