Is Provider 1558612762 flagged for Medicaid fraud?

Provider 1558612762 (NPI: 1558612762) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1558612762 bill Medicaid?

Provider 1558612762 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1558612762?

NPI 1558612762 is the National Provider Identifier for Provider 1558612762.. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Provider 1558612762

NPI: 1558612762Share

Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$12.8M

$12,807,613

Total Claims

42K

Beneficiaries

42K

1.0 claims/patient

Avg Cost/Claim

$306

Monthly Spending Trend

Yearly Spending

2018

$244K

+240%

2019

$831K

+153%

2020

$2.1M

+37%

2021

$2.9M

-18%

2022

$2.4M

+9%

2023

$2.6M

-31%

2024

$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 42% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

43239Upper GI endoscopy with biopsySee all providers →

$5.4M

11K claims

$474.08

$151.68

3.1×

Top 10%

43239Top 10%

Upper GI endoscopy with biopsy

$5.4M

11K claims · 42.1%

Your Cost: $474.08/claim|Median: $151.68

3.1× median

45380Colonoscopy with biopsySee all providers →

$3.6M

7,896 claims

$450.37

$200.68

2.2×

Top 25%

45380Top 25%

Colonoscopy with biopsy

$3.6M

7,896 claims · 27.8%

Your Cost: $450.37/claim|Median: $200.68

2.2× median

45378Colonoscopy, diagnosticSee all providers →

$1.3M

2,375 claims

$530.80

$225.49

2.4×

Top 25%

45378Top 25%

Colonoscopy, diagnostic

$1.3M

2,375 claims · 9.8%

Your Cost: $530.80/claim|Median: $225.49

2.4× median

00731 See all providers →

$1.0M

10K claims

$99.18

$64.75

1.5×

Top 25%

00731Top 25%

$1.0M

10K claims · 7.9%

Your Cost: $99.18/claim|Median: $64.75

1.5× median

45385Colonoscopy with polyp removal, snare techniqueSee all providers →

$933K

1,853 claims

$503.62

$255.17

2.0×

Top 25%

45385Top 25%

Colonoscopy with polyp removal, snare technique

$933K

1,853 claims · 7.3%

Your Cost: $503.62/claim|Median: $255.17

2.0× median

00812 See all providers →

$381K

4,475 claims

$85.15

$59.54

1.4×

Normal range

00812Normal range

$381K

4,475 claims · 3.0%

Your Cost: $85.15/claim|Median: $59.54

1.4× median

00811 See all providers →

$262K

3,171 claims

$82.71

$56.15

1.5×

Normal range

00811Normal range

$262K

3,171 claims · 2.0%

Your Cost: $82.71/claim|Median: $56.15

1.5× median

G0121Colorectal cancer screening; colonoscopySee all providers →

$5K

12 claims

$450.22

$332.07

1.4×

Normal range

G0121Normal range

Colorectal cancer screening; colonoscopy

$5K

12 claims · 0.0%

Your Cost: $450.22/claim|Median: $332.07

1.4× median

45398 See all providers →

$5K

14 claims

$356.41

1.0×

Normal range

45398Normal range

$5K

14 claims · 0.0%

Your Cost: $356.41/claim|Median: $356.41

1.0× median

G8918 See all providers →

220 claims

$0.00

$1.03

—

Normal range

G8918Normal range

220 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03

G8907 See all providers →

218 claims

$0.00

$0.38

—

Normal range

G8907Normal range

218 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38

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

14 claims

$0.00

$37.81

—

Normal range

99213Normal range

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

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81

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