Is PULASKI MEDICAL, LLC flagged for Medicaid fraud?

PULASKI MEDICAL, LLC (NPI: 1558607481) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does PULASKI MEDICAL, LLC bill Medicaid?

PULASKI MEDICAL, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Methadone Clinic provider. Located in PULASKI, VA.

What is NPI 1558607481?

NPI 1558607481 is the National Provider Identifier for PULASKI MEDICAL, LLC. They are a Clinic/Center, Methadone Clinic provider based in PULASKI, VA. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

PULASKI MEDICAL, LLC

Clinic/Center, Methadone Clinic·PULASKI, VA·NPI: 1558607481Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.4M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

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

Total Paid

$28.4M

$28,413,872

Total Claims

2.5M

Beneficiaries

214K

11.9 claims/patient

Avg Cost/Claim

$11

Monthly Spending Trend

Yearly Spending

2018

$1.9M

+72%

2019

$3.2M

+47%

2020

$4.8M

+17%

2021

$5.6M

-14%

2022

$4.8M

-10%

2023

$4.3M

-13%

2024

$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 32% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0020Alcohol/drug services; methadone administrationSee all providers →

$9.2M

999K claims

$9.18

$18.95

0.5×

Normal range

H0020Normal range

Alcohol/drug services; methadone administration

$9.2M

999K claims · 32.3%

Your Cost: $9.18/claim|Median: $18.95

0.5× median

G9012Other specified case management service, per 15 minutesSee all providers →

$8.3M

38K claims

$219.41

$137.85

1.6×

Normal range

G9012Normal range

Other specified case management service, per 15 minutes

$8.3M

38K claims · 29.3%

Your Cost: $219.41/claim|Median: $137.85

1.6× median

S0109 See all providers →

$4.9M

1.1M claims

$4.48

$4.67

1.0×

Normal range

S0109Normal range

$4.9M

1.1M claims · 17.3%

Your Cost: $4.48/claim|Median: $4.67

1.0× median

J0574 See all providers →

$2.3M

171K claims

$13.34

$15.76

0.8×

Normal range

J0574Normal range

$2.3M

171K claims · 8.0%

Your Cost: $13.34/claim|Median: $15.76

0.8× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$1.3M

38K claims

$34.17

$74.63

0.5×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.3M

38K claims · 4.6%

Your Cost: $34.17/claim|Median: $74.63

0.5× median

80305 See all providers →

$1.2M

111K claims

$10.52

$7.44

1.4×

Top 25%

80305Top 25%

$1.2M

111K claims · 4.1%

Your Cost: $10.52/claim|Median: $7.44

1.4× median

J0575 See all providers →

$613K

63K claims

$9.74

$14.96

0.7×

Normal range

J0575Normal range

$613K

63K claims · 2.2%

Your Cost: $9.74/claim|Median: $14.96

0.7× median

H0014 See all providers →

$265K

3,084 claims

$86.07

$137.81

0.6×

Normal range

H0014Normal range

$265K

3,084 claims · 0.9%

Your Cost: $86.07/claim|Median: $137.81

0.6× median

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

$161K

3,575 claims

$45.08

$37.81

1.2×

Normal range

99213Normal range

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

$161K

3,575 claims · 0.6%

Your Cost: $45.08/claim|Median: $37.81

1.2× median

99212Office/outpatient visit, low complexitySee all providers →

$40K

1,410 claims

$28.41

$25.06

1.1×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$40K

1,410 claims · 0.1%

Your Cost: $28.41/claim|Median: $25.06

1.1× median

H0005Alcohol and/or drug services, group counselingSee all providers →

$38K

2,135 claims

$17.86

$47.35

0.4×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$38K

2,135 claims · 0.1%

Your Cost: $17.86/claim|Median: $47.35

0.4× median

J0573 See all providers →

$25K

3,736 claims

$6.80

$12.82

0.5×

Normal range

J0573Normal range

$25K

3,736 claims · 0.1%

Your Cost: $6.80/claim|Median: $12.82

0.5× median

82075Alcohol (ethanol) breath testSee all providers →

$23K

6,132 claims

$3.69

$16.59

0.2×

Normal range

82075Normal range

Alcohol (ethanol) breath test

$23K

6,132 claims · 0.1%

Your Cost: $3.69/claim|Median: $16.59

0.2× median

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

$22K

551 claims

$39.09

$53.41

0.7×

Normal range

99214Normal range

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

$22K

551 claims · 0.1%

Your Cost: $39.09/claim|Median: $53.41

0.7× median

G2067Medication-assisted treatment, opioid use disorder, per monthSee all providers →

$14K

3,387 claims

$4.23

$73.29

0.1×

Normal range

G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$14K

3,387 claims · 0.1%

Your Cost: $4.23/claim|Median: $73.29

0.1× median

86580Tuberculosis (TB) skin testSee all providers →

$12K

2,228 claims

$5.27

$4.46

1.2×

Normal range

86580Normal range

Tuberculosis (TB) skin test

$12K

2,228 claims · 0.0%

Your Cost: $5.27/claim|Median: $4.46

1.2× median

J0572 See all providers →

$7K

901 claims

$8.02

$8.49

0.9×

Normal range

J0572Normal range

$7K

901 claims · 0.0%

Your Cost: $8.02/claim|Median: $8.49

0.9× median

99408 See all providers →

$6K

842 claims

$7.13

$9.32

0.8×

Normal range

99408Normal range

$6K

842 claims · 0.0%

Your Cost: $7.13/claim|Median: $9.32

0.8× median

99211Office/outpatient visit, minimal complexitySee all providers →

$4K

446 claims

$9.55

$12.93

0.7×

Normal range

99211Normal range

Office/outpatient visit, minimal complexity

$4K

446 claims · 0.0%

Your Cost: $9.55/claim|Median: $12.93

0.7× median

81025Urine pregnancy testSee all providers →

$3K

566 claims

$5.90

$4.81

1.2×

Normal range

81025Normal range

Urine pregnancy test

$3K

566 claims · 0.0%

Your Cost: $5.90/claim|Median: $4.81

1.2× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$3K

74 claims

$34.52

$57.85

0.6×

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$3K

74 claims · 0.0%

Your Cost: $34.52/claim|Median: $57.85

0.6× median

G2078 See all providers →

20 claims

$0.00

$27.04

—

Normal range

G2078Normal range

20 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.04

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