Is Provider 1336804939 flagged for Medicaid fraud?

Provider 1336804939 (NPI: 1336804939) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1336804939 bill Medicaid?

Provider 1336804939 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1336804939?

NPI 1336804939 is the National Provider Identifier for Provider 1336804939.. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Provider 1336804939

NPI: 1336804939Share

Active Billing Period:2022-04→2024-12(33 months)

Total Paid

$12.2M

$12,181,702

Total Claims

346K

Beneficiaries

265K

1.3 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2022

$727K

+522%

2023

$4.5M

+53%

2024

$6.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 69% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$8.4M

50K claims

$169.35

$121.16

1.4×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.4M

50K claims · 69.3%

Your Cost: $169.35/claim|Median: $121.16

1.4× median

00003Anesthesia servicesSee all providers →

$3.7M

18K claims

$210.20

$223.77

0.9×

Normal range

00003Normal range

Anesthesia services

$3.7M

18K claims · 30.4%

Your Cost: $210.20/claim|Median: $223.77

0.9× median

90834Psychotherapy, 45 minutesSee all providers →

$17K

857 claims

$20.06

$63.65

0.3×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$17K

857 claims · 0.1%

Your Cost: $20.06/claim|Median: $63.65

0.3× median

98941Chiropractic manipulative treatment, 3-4 spinal regionsSee all providers →

$9K

7,746 claims

$1.15

$20.83

0.1×

Normal range

98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$9K

7,746 claims · 0.1%

Your Cost: $1.15/claim|Median: $20.83

0.1× median

90832Psychotherapy, 30 minutesSee all providers →

$6K

492 claims

$12.39

$41.28

0.3×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$6K

492 claims · 0.1%

Your Cost: $12.39/claim|Median: $41.28

0.3× median

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

$6K

39K claims

$0.15

$37.81

0.0×

Normal range

99213Normal range

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

$6K

39K claims · 0.0%

Your Cost: $0.15/claim|Median: $37.81

0.0× median

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

$1K

3,262 claims

$0.37

$53.41

0.0×

Normal range

99214Normal range

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

$1K

3,262 claims · 0.0%

Your Cost: $0.37/claim|Median: $53.41

0.0× median

99212Office/outpatient visit, low complexitySee all providers →

$427

1,176 claims

$0.36

$25.06

0.0×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$427

1,176 claims · 0.0%

Your Cost: $0.36/claim|Median: $25.06

0.0× median

G9920 See all providers →

$377

345 claims

$1.09

$6.56

0.2×

Normal range

G9920Normal range

$377

345 claims · 0.0%

Your Cost: $1.09/claim|Median: $6.56

0.2× median

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

$290

1,647 claims

$0.18

$84.03

0.0×

Normal range

99204Normal range

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

$290

1,647 claims · 0.0%

Your Cost: $0.18/claim|Median: $84.03

0.0× median

92014Ophthalmological exam, comprehensive, established patientSee all providers →

$214

2,484 claims

$0.09

$47.08

0.0×

Normal range

92014Normal range

Ophthalmological exam, comprehensive, established patient

$214

2,484 claims · 0.0%

Your Cost: $0.09/claim|Median: $47.08

0.0× median

G0467Federally qualified health center visit, mental healthSee all providers →

$154

939 claims

$0.16

$21.91

0.0×

Normal range

G0467Normal range

Federally qualified health center visit, mental health

$154

939 claims · 0.0%

Your Cost: $0.16/claim|Median: $21.91

0.0× median

90688 See all providers →

$22

164 claims

$0.13

$9.00

0.0×

Normal range

90688Normal range

$22

164 claims · 0.0%

Your Cost: $0.13/claim|Median: $9.00

0.0× median

G0511RHC/FQHC visit, psychiatric collaborative care modelSee all providers →

$15

159 claims

$0.09

$11.35

0.0×

Normal range

G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$15

159 claims · 0.0%

Your Cost: $0.09/claim|Median: $11.35

0.0× median

83036Hemoglobin A1c (glycated hemoglobin)See all providers →

1,242 claims

$0.01

$5.50

0.0×

Normal range

83036Normal range

Hemoglobin A1c (glycated hemoglobin)

1,242 claims · 0.0%

Your Cost: $0.01/claim|Median: $5.50

0.0× median

81003Urinalysis, automated without microscopySee all providers →

2,071 claims

$0.00

$1.48

0.0×

Normal range

81003Normal range

Urinalysis, automated without microscopy

2,071 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.48

0.0× median

99215Office/outpatient visit, high complexitySee all providers →

39 claims

$0.19

$74.09

0.0×

Normal range

99215Normal range

Office/outpatient visit, high complexity

39 claims · 0.0%

Your Cost: $0.19/claim|Median: $74.09

0.0× median

81025Urine pregnancy testSee all providers →

585 claims

$0.01

$4.81

0.0×

Normal range

81025Normal range

Urine pregnancy test

585 claims · 0.0%

Your Cost: $0.01/claim|Median: $4.81

0.0× median

87811SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-readSee all providers →

567 claims

$0.00

$30.53

0.0×

Normal range

87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

567 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.53

0.0× median

D1120Prophylaxis, adultSee all providers →

602 claims

$0.00

$33.86

—

Normal range

D1120Normal range

Prophylaxis, adult

602 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.86

D1208Topical application of fluoride, excluding varnishSee all providers →

689 claims

$0.00

$14.36

—

Normal range

D1208Normal range

Topical application of fluoride, excluding varnish

689 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.36

92002Intermediate eye exam, new patientSee all providers →

70 claims

$0.00

$41.61

—

Normal range

92002Normal range

Intermediate eye exam, new patient

70 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.61

1125F See all providers →

4,311 claims

$0.00

$0.03

—

Normal range

1125FNormal range

4,311 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03

D4341Periodontal scaling, per quadrantSee all providers →

604 claims

$0.00

$70.00

—

Normal range

D4341Normal range

Periodontal scaling, per quadrant

604 claims · 0.0%

Your Cost: $0.00/claim|Median: $70.00

90715Tdap vaccineSee all providers →

348 claims

$0.00

$10.32

—

Normal range

90715Normal range

Tdap vaccine

348 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32

3077F See all providers →

1,794 claims

$0.00

$0.12

—

Normal range

3077FNormal range

1,794 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12

D0330Panoramic radiographic imageSee all providers →

31 claims

$0.00

$37.36

—

Normal range

D0330Normal range

Panoramic radiographic image

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.36

99392Preventive medicine, established patient, age 1-4See all providers →

27 claims

$0.00

$75.18

—

Normal range

99392Normal range

Preventive medicine, established patient, age 1-4

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18

D2392Resin-based composite, two surfaces, posteriorSee all providers →

844 claims

$0.00

$71.00

—

Normal range

D2392Normal range

Resin-based composite, two surfaces, posterior

844 claims · 0.0%

Your Cost: $0.00/claim|Median: $71.00

D2999 See all providers →

34 claims

$0.00

$72.71

—

Normal range

D2999Normal range

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.71

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