Is Provider 1346399870 flagged for Medicaid fraud?

Provider 1346399870 (NPI: 1346399870) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1346399870 bill Medicaid?

Provider 1346399870 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1346399870?

NPI 1346399870 is the National Provider Identifier for Provider 1346399870.. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Provider 1346399870

NPI: 1346399870Share

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

Total Paid

$16.7M

$16,662,258

Total Claims

99K

Beneficiaries

5,436

18.3 claims/patient

Avg Cost/Claim

$168

Monthly Spending Trend

Yearly Spending

2018

$2.3M

-26%

2019

$1.7M

+29%

2020

$2.2M

+44%

2021

$3.2M

-26%

2022

$2.4M

+31%

2023

$3.1M

-45%

2024

$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 44% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2016Comprehensive community support services, per 15 minSee all providers →

$7.4M

34K claims

$218.82

$321.53

0.7×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$7.4M

34K claims · 44.3%

Your Cost: $218.82/claim|Median: $321.53

0.7× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$4.3M

23K claims

$185.37

$150.51

1.2×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$4.3M

23K claims · 25.6%

Your Cost: $185.37/claim|Median: $150.51

1.2× median

T2013Habilitation, residential, waiver, per hourSee all providers →

$3.8M

30K claims

$124.60

$158.23

0.8×

Normal range

T2013Normal range

Habilitation, residential, waiver, per hour

$3.8M

30K claims · 22.5%

Your Cost: $124.60/claim|Median: $158.23

0.8× median

H2015Comprehensive community support services, per 15 minSee all providers →

$839K

8,140 claims

$103.08

$96.24

1.1×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$839K

8,140 claims · 5.0%

Your Cost: $103.08/claim|Median: $96.24

1.1× median

T2013TF See all providers →

$225K

1,179 claims

$190.92

$168.77

1.1×

Top 25%

T2013TFTop 25%

$225K

1,179 claims · 1.4%

Your Cost: $190.92/claim|Median: $168.77

1.1× median

S5150Unskilled respite care, per 15 minSee all providers →

$200K

3,125 claims

$63.90

$84.46

0.8×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$200K

3,125 claims · 1.2%

Your Cost: $63.90/claim|Median: $84.46

0.8× median

90837Psychotherapy, 60 minutesSee all providers →

$3K

30 claims

$98.26

$85.66

1.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$3K

30 claims · 0.0%

Your Cost: $98.26/claim|Median: $85.66

1.1× median

90834Psychotherapy, 45 minutesSee all providers →

$1K

15 claims

$74.50

$63.65

1.2×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$1K

15 claims · 0.0%

Your Cost: $74.50/claim|Median: $63.65

1.2× median

90832Psychotherapy, 30 minutesSee all providers →

$884

15 claims

$58.97

$41.28

1.4×

Top 25%

90832Top 25%

Psychotherapy, 30 minutes

$884

15 claims · 0.0%

Your Cost: $58.97/claim|Median: $41.28

1.4× median

99309Nursing facility care, subsequent, low complexitySee all providers →

$211

14 claims

$15.04

$14.00

1.1×

Normal range

99309Normal range

Nursing facility care, subsequent, low complexity

$211

14 claims · 0.0%

Your Cost: $15.04/claim|Median: $14.00

1.1× median

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