Is ORLANDO PSYCHIATRIC ASSOCIATES INC. flagged for Medicaid fraud?

ORLANDO PSYCHIATRIC ASSOCIATES INC. (NPI: 1528172731) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ORLANDO PSYCHIATRIC ASSOCIATES INC. bill Medicaid?

ORLANDO PSYCHIATRIC ASSOCIATES INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in ORLANDO, FL.

What is NPI 1528172731?

NPI 1528172731 is the National Provider Identifier for ORLANDO PSYCHIATRIC ASSOCIATES INC.. They are a Community/Behavioral Health provider based in ORLANDO, FL. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

ORLANDO PSYCHIATRIC ASSOCIATES INC.

Community/Behavioral Health·ORLANDO, FL·NPI: 1528172731Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.5M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$28.5M

$28,483,828

Total Claims

540K

Beneficiaries

408K

1.3 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018

$26K

+13840%

2019

$3.6M

+7%

2020

$3.8M

+13%

2021

$4.3M

+33%

2022

$5.7M

+9%

2023

$6.3M

-25%

2024

$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H2000 (Comprehensive multidisciplinary evaluation)) accounts for 36% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2000Comprehensive multidisciplinary evaluationSee all providers →

$10.4M

87K claims

$118.60

$114.71

1.0×

Normal range

H2000Normal range

Comprehensive multidisciplinary evaluation

$10.4M

87K claims · 36.4%

Your Cost: $118.60/claim|Median: $114.71

1.0× median

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$8.8M

202K claims

$43.45

$121.16

0.4×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.8M

202K claims · 30.9%

Your Cost: $43.45/claim|Median: $121.16

0.4× median

H0032Mental health service plan developmentSee all providers →

$4.8M

69K claims

$69.41

$80.64

0.9×

Normal range

H0032Normal range

Mental health service plan development

$4.8M

69K claims · 16.9%

Your Cost: $69.41/claim|Median: $80.64

0.9× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$2.4M

51K claims

$46.67

$84.12

0.6×

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

$2.4M

51K claims · 8.3%

Your Cost: $46.67/claim|Median: $84.12

0.6× median

H2010Comprehensive medication services, per 15 minSee all providers →

$1.2M

50K claims

$24.58

$62.69

0.4×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$1.2M

50K claims · 4.3%

Your Cost: $24.58/claim|Median: $62.69

0.4× median

H0046Mental health services, not otherwise specifiedSee all providers →

$428K

33K claims

$12.93

$85.02

0.2×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$428K

33K claims · 1.5%

Your Cost: $12.93/claim|Median: $85.02

0.2× median

H0048 See all providers →

$287K

32K claims

$9.00

$13.25

0.7×

Normal range

H0048Normal range

$287K

32K claims · 1.0%

Your Cost: $9.00/claim|Median: $13.25

0.7× median

H0031Mental health assessment by non-physicianSee all providers →

$195K

6,381 claims

$30.52

$96.18

0.3×

Normal range

H0031Normal range

Mental health assessment by non-physician

$195K

6,381 claims · 0.7%

Your Cost: $30.52/claim|Median: $96.18

0.3× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$13K

2,494 claims

$5.30

$37.81

0.1×

Normal range

99213Normal range

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

$13K

2,494 claims · 0.0%

Your Cost: $5.30/claim|Median: $37.81

0.1× median

90833Psychotherapy, 30 min, add-on to E/M serviceSee all providers →

$6K

5,023 claims

$1.22

$38.83

0.0×

Normal range

90833Normal range

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

$6K

5,023 claims · 0.0%

Your Cost: $1.22/claim|Median: $38.83

0.0× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$6K

1,826 claims

$3.34

$53.41

0.1×

Normal range

99214Normal range

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

$6K

1,826 claims · 0.0%

Your Cost: $3.34/claim|Median: $53.41

0.1× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

12 claims

$0.00

$108.91

—

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91

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