Is PHI HEALTH, LLC flagged for Medicaid fraud?

PHI HEALTH, LLC (NPI: 1306289996) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does PHI HEALTH, LLC bill Medicaid?

PHI HEALTH, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Ambulance, Air Transport provider. Located in MCKINNEY, TX.

What is NPI 1306289996?

NPI 1306289996 is the National Provider Identifier for PHI HEALTH, LLC. They are a Ambulance, Air Transport provider based in MCKINNEY, TX. This NPI is registered with the CMS NPI Registry.

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PHI HEALTH, LLC

Ambulance, Air Transport·MCKINNEY, TX·NPI: 1306289996Share

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

Total Paid

$25.9M

$25,921,617

Total Claims

17K

Beneficiaries

14K

1.2 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2018

$769K

+199%

2019

$2.3M

+78%

2020

$4.1M

+24%

2021

$5.1M

-0%

2022

$5.1M

+7%

2023

$5.4M

-41%

2024

$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (A0431 (Ambulance service, conventional air, transport, one way)) accounts for 65% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

A0431Ambulance service, conventional air, transport, one waySee all providers →

$16.9M

8,054 claims

$2,104.39

$1,650.68

1.3×

Normal range

A0431Normal range

Ambulance service, conventional air, transport, one way

$16.9M

8,054 claims · 65.4%

Your Cost: $2,104.39/claim|Median: $1,650.68

1.3× median

A0436ALS mileage, per mile, level 2See all providers →

$8.8M

8,017 claims

$1,100.26

$705.08

1.6×

Normal range

A0436Normal range

ALS mileage, per mile, level 2

$8.8M

8,017 claims · 34.0%

Your Cost: $1,100.26/claim|Median: $705.08

1.6× median

A0434Ambulance, specialty care transportSee all providers →

$62K

215 claims

$290.32

$252.36

1.2×

Normal range

A0434Normal range

Ambulance, specialty care transport

$62K

215 claims · 0.2%

Your Cost: $290.32/claim|Median: $252.36

1.2× median

A0425Ground mileage, per statute mileSee all providers →

$59K

551 claims

$107.67

$23.36

4.6×

Top 10%

A0425Top 10%

Ground mileage, per statute mile

$59K

551 claims · 0.2%

Your Cost: $107.67/claim|Median: $23.36

4.6× median

A0429Ambulance, BLS emergency transportSee all providers →

$25K

136 claims

$181.94

$138.19

1.3×

Normal range

A0429Normal range

Ambulance, BLS emergency transport

$25K

136 claims · 0.1%

Your Cost: $181.94/claim|Median: $138.19

1.3× median

A0433 See all providers →

$5K

14 claims

$373.61

$207.46

1.8×

Top 25%

A0433Top 25%

$5K

14 claims · 0.0%

Your Cost: $373.61/claim|Median: $207.46

1.8× median

A0422 See all providers →

$407

53 claims

$7.67

$9.63

0.8×

Normal range

A0422Normal range

$407

53 claims · 0.0%

Your Cost: $7.67/claim|Median: $9.63

0.8× median

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