Is Stuart Rupp flagged for Medicaid fraud?

Stuart Rupp (NPI: 1386164754) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Stuart Rupp bill Medicaid?

Stuart Rupp received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Dentist, Oral and Maxillofacial Surgery provider. Located in La Crosse, WI.

What is NPI 1386164754?

NPI 1386164754 is the National Provider Identifier for Stuart Rupp. They are a Dentist, Oral and Maxillofacial Surgery provider based in La Crosse, WI. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Stuart Rupp

Dentist, Oral and Maxillofacial Surgery·La Crosse, WI·NPI: 1386164754SharePrint Report ML Risk: 87%

View on Risk Watchlist →

Compared to Dentist, Oral and Maxillofacial Surgery Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $181K is at the 50th percentile among 5 Dentist, Oral and Maxillofacial Surgery providers.

Total Paid

$181K

$181,241

Total Claims

2,860

Beneficiaries

1,531

1.9 claims/patient

Avg Cost/Claim

$63

🔍 Analysis

Provider Overview

Stuart Rupp is a Dentist, Oral and Maxillofacial Surgery provider based in La Crosse, WI. From 2023-06 through 2024-10, this provider received $181K in Medicaid payments across 3K claims serving 2K beneficiaries, billing 9 distinct procedure codes.

Yearly Spending

2023

2024

$181K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 52% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

D7210Extraction, erupted tooth, surgical approachSee all providers →

$93K

1,044 claims

$89.49

$109.42

0.8×

Normal range

D7210Normal range

Extraction, erupted tooth, surgical approach

$93K

1,044 claims · 51.5%

Your Cost: $89.49/claim|Median: $109.42

0.8× median

D7240Extraction, impacted tooth, complete bonySee all providers →

$51K

185 claims

$273.03

$231.00

1.2×

Normal range

D7240Normal range

Extraction, impacted tooth, complete bony

$51K

185 claims · 27.9%

Your Cost: $273.03/claim|Median: $231.00

1.2× median

D7230Extraction, impacted tooth, partial bonySee all providers →

$20K

108 claims

$181.80

$187.09

1.0×

Normal range

D7230Normal range

Extraction, impacted tooth, partial bony

$20K

108 claims · 10.8%

Your Cost: $181.80/claim|Median: $187.09

1.0× median

D0330Panoramic radiographic imageSee all providers →

$9K

204 claims

$44.73

$37.36

1.2×

Normal range

D0330Normal range

Panoramic radiographic image

$9K

204 claims · 5.0%

Your Cost: $44.73/claim|Median: $37.36

1.2× median

D0140Limited oral evaluation, problem focusedSee all providers →

$7K

462 claims

$15.74

$27.07

0.6×

Normal range

D0140Normal range

Limited oral evaluation, problem focused

$7K

462 claims · 4.0%

Your Cost: $15.74/claim|Median: $27.07

0.6× median

D9222Deep sedation/general anesthesia, first 15 minutesSee all providers →

$695

237 claims

$2.93

$90.28

0.0×

Normal range

D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$695

237 claims · 0.4%

Your Cost: $2.93/claim|Median: $90.28

0.0× median

D0150Comprehensive oral evaluation, new or established patientSee all providers →

$577

51 claims

$11.31

$32.07

0.4×

Normal range

D0150Normal range

Comprehensive oral evaluation, new or established patient

$577

51 claims · 0.3%

Your Cost: $11.31/claim|Median: $32.07

0.4× median

D9612 See all providers →

13 claims

$0.00

$35.08

—

Normal range

D9612Normal range

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.08

D9223Deep sedation/general anesthesia, each additional 15 minSee all providers →

556 claims

$0.00

$107.14

—

Normal range

D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

556 claims · 0.0%

Your Cost: $0.00/claim|Median: $107.14

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