Ideal Option, PLLC
Preventive Medicine, Addiction Medicine
Pasco, Washington
NPI: 1457788275
Risk Tier
Elevated
Total Paid
$259.1M
$259,128,732
Total Claims
3.9M
Beneficiaries
2.7M
Avg Cost/Claim
$66.66
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 19 procedure codes: G0481 at 1.9× median, 99215 at 2.0× median.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024