Is Provider 1326262973 flagged for Medicaid fraud?

Provider 1326262973 (NPI: 1326262973) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1326262973 bill Medicaid?

Provider 1326262973 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1326262973?

NPI 1326262973 is the National Provider Identifier for Provider 1326262973.. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Provider 1326262973

NPI: 1326262973Share

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$9.3M

$9,349,017

Total Claims

120K

Beneficiaries

63K

1.9 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018

$1.4M

-9%

2019

$1.2M

-19%

2020

$1.0M

+24%

2021

$1.2M

+32%

2022

$1.7M

+0%

2023

$1.7M

-29%

2024

$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 51% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2022Case management, per monthSee all providers →

$4.7M

34K claims

$141.13

$202.77

0.7×

Normal range

T2022Normal range

Case management, per month

$4.7M

34K claims · 50.7%

Your Cost: $141.13/claim|Median: $202.77

0.7× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$1.7M

6,421 claims

$261.84

$106.70

2.5×

Top 25%

T1023Top 25%

Screening to determine appropriateness of consideration for program

$1.7M

6,421 claims · 18.0%

Your Cost: $261.84/claim|Median: $106.70

2.5× median

92507Speech/hearing/language treatmentSee all providers →

$1.3M

23K claims

$55.71

$49.45

1.1×

Normal range

92507Normal range

Speech/hearing/language treatment

$1.3M

23K claims · 13.8%

Your Cost: $55.71/claim|Median: $49.45

1.1× median

92508Treatment of speech/language disorder, group, 2+ patientsSee all providers →

$973K

41K claims

$23.87

$13.22

1.8×

Top 25%

92508Top 25%

Treatment of speech/language disorder, group, 2+ patients

$973K

41K claims · 10.4%

Your Cost: $23.87/claim|Median: $13.22

1.8× median

97530Therapeutic activities, each 15 minSee all providers →

$330K

8,974 claims

$36.77

$33.11

1.1×

Normal range

97530Normal range

Therapeutic activities, each 15 min

$330K

8,974 claims · 3.5%

Your Cost: $36.77/claim|Median: $33.11

1.1× median

90832Psychotherapy, 30 minutesSee all providers →

$248K

5,219 claims

$47.46

$41.28

1.1×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$248K

5,219 claims · 2.6%

Your Cost: $47.46/claim|Median: $41.28

1.1× median

W9323 See all providers →

$56K

399 claims

$140.98

$143.20

1.0×

Normal range

W9323Normal range

$56K

399 claims · 0.6%

Your Cost: $140.98/claim|Median: $143.20

1.0× median

T2003Non-emergency transport; encounter/tripSee all providers →

$12K

599 claims

$20.66

$21.70

1.0×

Normal range

T2003Normal range

Non-emergency transport; encounter/trip

$12K

599 claims · 0.1%

Your Cost: $20.66/claim|Median: $21.70

1.0× median

90853Group psychotherapySee all providers →

$10K

303 claims

$33.36

$25.02

1.3×

Normal range

90853Normal range

Group psychotherapy

$10K

303 claims · 0.1%

Your Cost: $33.36/claim|Median: $25.02

1.3× median

92523Evaluation of speech sound production with language comprehensionSee all providers →

$2K

25 claims

$85.17

$110.87

0.8×

Normal range

92523Normal range

Evaluation of speech sound production with language comprehension

$2K

25 claims · 0.0%

Your Cost: $85.17/claim|Median: $110.87

0.8× median

97150Therapeutic procedure, group (2+ patients)See all providers →

$402

22 claims

$18.25

$12.12

1.5×

Top 25%

97150Top 25%

Therapeutic procedure, group (2+ patients)

$402

22 claims · 0.0%

Your Cost: $18.25/claim|Median: $12.12

1.5× median

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