Is Provider 1497890123 flagged for Medicaid fraud?

Provider 1497890123 (NPI: 1497890123) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1497890123 bill Medicaid?

Provider 1497890123 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1497890123?

NPI 1497890123 is the National Provider Identifier for Provider 1497890123.. This NPI is registered with the CMS NPI Registry.

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Provider 1497890123

NPI: 1497890123Share

Active Billing Period:2018-01→2024-12(79 months)

Total Paid

$15.7M

$15,741,212

Total Claims

200K

Beneficiaries

103K

1.9 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018

$2.5M

-17%

2019

$2.1M

-14%

2020

$1.8M

+28%

2021

$2.3M

-10%

2022

$2.1M

+28%

2023

$2.7M

-15%

2024

$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 52% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2022Case management, per monthSee all providers →

$8.1M

56K claims

$145.07

$202.77

0.7×

Normal range

T2022Normal range

Case management, per month

$8.1M

56K claims · 51.7%

Your Cost: $145.07/claim|Median: $202.77

0.7× median

92507Speech/hearing/language treatmentSee all providers →

$2.9M

56K claims

$52.41

$49.45

1.1×

Normal range

92507Normal range

Speech/hearing/language treatment

$2.9M

56K claims · 18.6%

Your Cost: $52.41/claim|Median: $49.45

1.1× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$2.6M

9,679 claims

$271.70

$106.70

2.5×

Top 25%

T1023Top 25%

Screening to determine appropriateness of consideration for program

$2.6M

9,679 claims · 16.7%

Your Cost: $271.70/claim|Median: $106.70

2.5× median

92508Treatment of speech/language disorder, group, 2+ patientsSee all providers →

$1.0M

46K claims

$22.06

$13.22

1.7×

Top 25%

92508Top 25%

Treatment of speech/language disorder, group, 2+ patients

$1.0M

46K claims · 6.4%

Your Cost: $22.06/claim|Median: $13.22

1.7× median

97530Therapeutic activities, each 15 minSee all providers →

$754K

23K claims

$33.09

$33.11

1.0×

Normal range

97530Normal range

Therapeutic activities, each 15 min

$754K

23K claims · 4.8%

Your Cost: $33.09/claim|Median: $33.11

1.0× median

97110Therapeutic exercises, each 15 minSee all providers →

$174K

5,033 claims

$34.58

$24.49

1.4×

Normal range

97110Normal range

Therapeutic exercises, each 15 min

$174K

5,033 claims · 1.1%

Your Cost: $34.58/claim|Median: $24.49

1.4× median

97150Therapeutic procedure, group (2+ patients)See all providers →

$55K

3,545 claims

$15.62

$12.12

1.3×

Normal range

97150Normal range

Therapeutic procedure, group (2+ patients)

$55K

3,545 claims · 0.4%

Your Cost: $15.62/claim|Median: $12.12

1.3× median

90832Psychotherapy, 30 minutesSee all providers →

$44K

880 claims

$50.47

$41.28

1.2×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$44K

880 claims · 0.3%

Your Cost: $50.47/claim|Median: $41.28

1.2× median

W9323 See all providers →

$5K

36 claims

$145.83

$143.20

1.0×

Top 25%

W9323Top 25%

$5K

36 claims · 0.0%

Your Cost: $145.83/claim|Median: $143.20

1.0× median

92523Evaluation of speech sound production with language comprehensionSee all providers →

$1K

12 claims

$92.30

$110.87

0.8×

Normal range

92523Normal range

Evaluation of speech sound production with language comprehension

$1K

12 claims · 0.0%

Your Cost: $92.30/claim|Median: $110.87

0.8× median

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