Is MEDSCOPE AMERICA LLC flagged for Medicaid fraud?

MEDSCOPE AMERICA LLC (NPI: 1508982232) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does MEDSCOPE AMERICA LLC bill Medicaid?

MEDSCOPE AMERICA LLC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Emergency Response System Companies provider. Located in PHILADELPHIA, PA.

What is NPI 1508982232?

NPI 1508982232 is the National Provider Identifier for MEDSCOPE AMERICA LLC. They are a Emergency Response System Companies provider based in PHILADELPHIA, PA. This NPI is registered with the CMS NPI Registry.

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MEDSCOPE AMERICA LLC

Emergency Response System Companies·PHILADELPHIA, PA·NPI: 1508982232Share

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

Total Paid

$66.4M

$66,446,396

Total Claims

2.7M

Beneficiaries

2.6M

1.0 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018

$3.6M

+131%

2019

$8.2M

+11%

2020

$9.1M

+27%

2021

$11.6M

-3%

2022

$11.2M

+4%

2023

$11.6M

-3%

2024

$11.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (S5161 (Emergency response system, per month)) accounts for 91% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S5161Emergency response system, per monthSee all providers →

$60.1M

2.5M claims

$24.48

$29.97

0.8×

Normal range

S5161Normal range

Emergency response system, per month

$60.1M

2.5M claims · 90.5%

Your Cost: $24.48/claim|Median: $29.97

0.8× median

W1895 See all providers →

$5.5M

187K claims

$29.31

$29.33

1.0×

Normal range

W1895Normal range

$5.5M

187K claims · 8.3%

Your Cost: $29.31/claim|Median: $29.33

1.0× median

Z0059 See all providers →

$741K

37K claims

$20.31

$20.08

1.0×

Normal range

Z0059Normal range

$741K

37K claims · 1.1%

Your Cost: $20.31/claim|Median: $20.08

1.0× median

1223Z See all providers →

$51K

1,829 claims

$27.86

$30.35

0.9×

Normal range

1223ZNormal range

$51K

1,829 claims · 0.1%

Your Cost: $27.86/claim|Median: $30.35

0.9× median

S5160Emergency response system, per monthSee all providers →

$34K

1,874 claims

$18.36

$38.52

0.5×

Normal range

S5160Normal range

Emergency response system, per month

$34K

1,874 claims · 0.1%

Your Cost: $18.36/claim|Median: $38.52

0.5× median

S5162 See all providers →

12 claims

$0.00

$112.17

—

Normal range

S5162Normal range

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $112.17

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