Is POSITIVE RECOVERY SOLUTIONS, LLC flagged for Medicaid fraud?

POSITIVE RECOVERY SOLUTIONS, LLC (NPI: 1235564188) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does POSITIVE RECOVERY SOLUTIONS, LLC bill Medicaid?

POSITIVE RECOVERY SOLUTIONS, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a General Practice provider. Located in COLUMBUS, OH.

What is NPI 1235564188?

NPI 1235564188 is the National Provider Identifier for POSITIVE RECOVERY SOLUTIONS, LLC. They are a General Practice provider based in COLUMBUS, OH. This NPI is registered with the CMS NPI Registry.

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POSITIVE RECOVERY SOLUTIONS, LLC

General Practice·COLUMBUS, OH·NPI: 1235564188Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.2M is at the 25th percentile among 6 General Practice providers.

Active Billing Period:2018-05→2024-12(80 months)

Total Paid

$29.2M

$29,200,810

Total Claims

130K

Beneficiaries

114K

1.1 claims/patient

Avg Cost/Claim

$225

Monthly Spending Trend

Yearly Spending

2018

$768K

+234%

2019

$2.6M

+12%

2020

$2.9M

+180%

2021

$8.1M

-40%

2022

$4.8M

+26%

2023

$6.1M

-35%

2024

$4.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (J2315) accounts for 94% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

J2315 See all providers →

$27.3M

27K claims

$1,017.15

$1,045.36

1.0×

Normal range

J2315Normal range

$27.3M

27K claims · 93.6%

Your Cost: $1,017.15/claim|Median: $1,045.36

1.0× median

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

$343K

6,131 claims

$55.94

$53.41

1.0×

Normal range

99214Normal range

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

$343K

6,131 claims · 1.2%

Your Cost: $55.94/claim|Median: $53.41

1.0× median

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

$300K

8,469 claims

$35.47

$37.81

0.9×

Normal range

99213Normal range

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

$300K

8,469 claims · 1.0%

Your Cost: $35.47/claim|Median: $37.81

0.9× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$289K

3,616 claims

$79.85

$84.03

1.0×

Normal range

99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$289K

3,616 claims · 1.0%

Your Cost: $79.85/claim|Median: $84.03

1.0× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$271K

24K claims

$11.54

$9.56

1.2×

Normal range

96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$271K

24K claims · 0.9%

Your Cost: $11.54/claim|Median: $9.56

1.2× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$233K

4,311 claims

$53.99

$57.85

0.9×

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$233K

4,311 claims · 0.8%

Your Cost: $53.99/claim|Median: $57.85

0.9× median

80305 See all providers →

$204K

27K claims

$7.69

$7.44

1.0×

Normal range

80305Normal range

$204K

27K claims · 0.7%

Your Cost: $7.69/claim|Median: $7.44

1.0× median

Q3014Telehealth originating site facility feeSee all providers →

$109K

14K claims

$7.71

$15.37

0.5×

Normal range

Q3014Normal range

Telehealth originating site facility fee

$109K

14K claims · 0.4%

Your Cost: $7.71/claim|Median: $15.37

0.5× median

81025Urine pregnancy testSee all providers →

$58K

12K claims

$4.68

$4.81

1.0×

Normal range

81025Normal range

Urine pregnancy test

$58K

12K claims · 0.2%

Your Cost: $4.68/claim|Median: $4.81

1.0× median

99211Office/outpatient visit, minimal complexitySee all providers →

$42K

3,500 claims

$11.99

$12.93

0.9×

Normal range

99211Normal range

Office/outpatient visit, minimal complexity

$42K

3,500 claims · 0.1%

Your Cost: $11.99/claim|Median: $12.93

0.9× median

G2012Brief communication technology-based serviceSee all providers →

$3K

366 claims

$8.50

$8.79

1.0×

Normal range

G2012Normal range

Brief communication technology-based service

$3K

366 claims · 0.0%

Your Cost: $8.50/claim|Median: $8.79

1.0× median

99202Office/outpatient visit, new patient, low complexitySee all providers →

$2K

56 claims

$33.23

$40.11

0.8×

Normal range

99202Normal range

Office/outpatient visit, new patient, low complexity

$2K

56 claims · 0.0%

Your Cost: $33.23/claim|Median: $40.11

0.8× median

99212Office/outpatient visit, low complexitySee all providers →

$941

51 claims

$18.45

$25.06

0.7×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$941

51 claims · 0.0%

Your Cost: $18.45/claim|Median: $25.06

0.7× median

99441Telephone E/M by physician, 5-10 minSee all providers →

$400

42 claims

$9.51

$13.30

0.7×

Normal range

99441Normal range

Telephone E/M by physician, 5-10 min

$400

42 claims · 0.0%

Your Cost: $9.51/claim|Median: $13.30

0.7× median

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