Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Unknown Provider 1508484726

NPI: 1508484726SharePrint ReportML Risk: 84%

Total Paid

$1.6M

$1,610,005

Total Claims

46K

Beneficiaries

5,331

8.5 claims/patient

Avg Cost/Claim

$35

🔍 Analysis

Provider Overview

is a Medicaid provider based in Unknown location. From 2020-11 through 2023-02, this provider received $1.6M in Medicaid payments across 46K claims serving 5K beneficiaries, billing 7 distinct procedure codes.

Key Findings

  • 📊79% of billing is concentrated in 90876 (90876), indicating significant specialization in this service.
  • 📊Spending grew 909% from $145K in 2020 to $1.5M in 2021.
  • 📊Saw a 10.1× spike in 2021 ($145K → $1.5M), a sharp year-over-year increase.
  • 📊Billing stopped in 2023-02, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Why This Matters

This provider received $1.6M in Medicaid payments. While not among the largest billers, unusual patterns in providers of this size can still indicate systemic issues worth monitoring.

Yearly Spending

2020
$145K
+909%
2021
$1.5M
-100%
2022
$0
2023
$0

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (90876) accounts for 79% of total spending.

90876Normal range

$1.3M

15K claims · 78.5%

Your Cost: $85.46/claim|Median: $85.83
1.0× median
Q3014Normal range

Telehealth originating site facility fee

$188K

15K claims · 11.7%

Your Cost: $12.46/claim|Median: $15.37
0.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$158K

15K claims · 9.8%

Your Cost: $10.86/claim|Median: $12.93
0.8× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$0

478 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.83
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$0

352 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$0

137 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
90901Normal range

$0

162 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.55