Is Provider 1275851917 flagged for Medicaid fraud?

Provider 1275851917 (NPI: 1275851917) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1275851917 bill Medicaid?

Provider 1275851917 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1275851917?

NPI 1275851917 is the National Provider Identifier for Provider 1275851917.. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Provider 1275851917

NPI: 1275851917Share

Active Billing Period:2018-01→2024-12(45 months)

Total Paid

$10.8M

$10,798,146

Total Claims

111K

Beneficiaries

35K

3.2 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018

$173K

+149%

2021

$430K

+767%

2022

$3.7M

-1%

2023

$3.7M

-25%

2024

$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 86% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

G2067Medication-assisted treatment, opioid use disorder, per monthSee all providers →

$9.3M

89K claims

$104.59

$73.29

1.4×

Normal range

G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$9.3M

89K claims · 86.2%

Your Cost: $104.59/claim|Median: $73.29

1.4× median

G2068 See all providers →

$728K

3,990 claims

$182.39

$170.60

1.1×

Normal range

G2068Normal range

$728K

3,990 claims · 6.7%

Your Cost: $182.39/claim|Median: $170.60

1.1× median

G2078 See all providers →

$343K

6,946 claims

$49.43

$27.04

1.8×

Top 25%

G2078Top 25%

$343K

6,946 claims · 3.2%

Your Cost: $49.43/claim|Median: $27.04

1.8× median

H0020Alcohol/drug services; methadone administrationSee all providers →

$199K

8,473 claims

$23.52

$18.95

1.2×

Normal range

H0020Normal range

Alcohol/drug services; methadone administration

$199K

8,473 claims · 1.8%

Your Cost: $23.52/claim|Median: $18.95

1.2× median

G2076 See all providers →

$64K

184 claims

$349.17

$275.92

1.3×

Normal range

G2076Normal range

$64K

184 claims · 0.6%

Your Cost: $349.17/claim|Median: $275.92

1.3× median

99212Office/outpatient visit, low complexitySee all providers →

$52K

1,056 claims

$49.47

$25.06

2.0×

Top 25%

99212Top 25%

Office/outpatient visit, low complexity

$52K

1,056 claims · 0.5%

Your Cost: $49.47/claim|Median: $25.06

2.0× median

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

$29K

249 claims

$118.38

$57.85

2.0×

Top 5%

99203Top 5%

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

$29K

249 claims · 0.3%

Your Cost: $118.38/claim|Median: $57.85

2.0× median

90832Psychotherapy, 30 minutesSee all providers →

$27K

376 claims

$72.01

$41.28

1.7×

Top 25%

90832Top 25%

Psychotherapy, 30 minutes

$27K

376 claims · 0.3%

Your Cost: $72.01/claim|Median: $41.28

1.7× median

G2079 See all providers →

$23K

127 claims

$178.08

$108.54

1.6×

Top 1%

G2079Top 1%

$23K

127 claims · 0.2%

Your Cost: $178.08/claim|Median: $108.54

1.6× median

90791Psychiatric diagnostic evaluationSee all providers →

$20K

232 claims

$85.91

$99.21

0.9×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$20K

232 claims · 0.2%

Your Cost: $85.91/claim|Median: $99.21

0.9× median

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

$7K

219 claims

$33.81

$55.04

0.6×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$7K

219 claims · 0.1%

Your Cost: $33.81/claim|Median: $55.04

0.6× median

H0001Alcohol and/or drug assessmentSee all providers →

$1K

26 claims

$49.00

$94.22

0.5×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$1K

26 claims · 0.0%

Your Cost: $49.00/claim|Median: $94.22

0.5× median

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