Is FLAGSTAFF MEDICAL CENTER flagged for Medicaid fraud?

FLAGSTAFF MEDICAL CENTER (NPI: 1427234111) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does FLAGSTAFF MEDICAL CENTER bill Medicaid?

FLAGSTAFF MEDICAL CENTER 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 FLAGSTAFF, AZ.

What is NPI 1427234111?

NPI 1427234111 is the National Provider Identifier for FLAGSTAFF MEDICAL CENTER. They are a Ambulance, Air Transport provider based in FLAGSTAFF, AZ. This NPI is registered with the CMS NPI Registry.

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FLAGSTAFF MEDICAL CENTER

Ambulance, Air Transport·FLAGSTAFF, AZ·NPI: 1427234111Share

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

Total Paid

$37.6M

$37,584,989

Total Claims

28K

Beneficiaries

26K

1.1 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018

$5.2M

-4%

2019

$5.0M

+17%

2020

$5.8M

+5%

2021

$6.2M

-20%

2022

$4.9M

+8%

2023

$5.3M

-3%

2024

$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (A0436 (ALS mileage, per mile, level 2)) accounts for 60% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$22.6M

11K claims

$2,089.30

$705.08

3.0×

Top 10%

A0436Top 10%

ALS mileage, per mile, level 2

$22.6M

11K claims · 60.2%

Your Cost: $2,089.30/claim|Median: $705.08

3.0× median

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

$11.5M

11K claims

$1,063.97

$1,650.68

0.6×

Normal range

A0431Normal range

Ambulance service, conventional air, transport, one way

$11.5M

11K claims · 30.7%

Your Cost: $1,063.97/claim|Median: $1,650.68

0.6× median

A0435ALS mileage, per mile, fixed wing, level 2See all providers →

$1.9M

1,432 claims

$1,341.65

$1,235.61

1.1×

Normal range

A0435Normal range

ALS mileage, per mile, fixed wing, level 2

$1.9M

1,432 claims · 5.1%

Your Cost: $1,341.65/claim|Median: $1,235.61

1.1× median

A0430ALS mileage, per mile, fixed wingSee all providers →

$1.4M

1,427 claims

$1,004.36

$1,588.22

0.6×

Normal range

A0430Normal range

ALS mileage, per mile, fixed wing

$1.4M

1,427 claims · 3.8%

Your Cost: $1,004.36/claim|Median: $1,588.22

0.6× median

A0398 See all providers →

$35K

2,092 claims

$16.56

$13.41

1.2×

Normal range

A0398Normal range

$35K

2,092 claims · 0.1%

Your Cost: $16.56/claim|Median: $13.41

1.2× median

A0888 See all providers →

$15K

27 claims

$561.00

$0.65

863.1×

Top 1%

A0888Top 1%

$15K

27 claims · 0.0%

Your Cost: $561.00/claim|Median: $0.65

863.1× median

A0422 See all providers →

$13K

1,523 claims

$8.28

$9.63

0.9×

Normal range

A0422Normal range

$13K

1,523 claims · 0.0%

Your Cost: $8.28/claim|Median: $9.63

0.9× median

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