Is AMERICAN MEDICAL ALERT CORP flagged for Medicaid fraud?

AMERICAN MEDICAL ALERT CORP (NPI: 1609931583) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does AMERICAN MEDICAL ALERT CORP bill Medicaid?

AMERICAN MEDICAL ALERT CORP 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 LONG ISLAND CITY, NY.

What is NPI 1609931583?

NPI 1609931583 is the National Provider Identifier for AMERICAN MEDICAL ALERT CORP. They are a Emergency Response System Companies provider based in LONG ISLAND CITY, NY. This NPI is registered with the CMS NPI Registry.

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AMERICAN MEDICAL ALERT CORP

Emergency Response System Companies·LONG ISLAND CITY, NY·NPI: 1609931583Share

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$88.2M

$88,208,919

Total Claims

3.1M

Beneficiaries

3.0M

1.0 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018

$9.7M

+47%

2019

$14.3M

-1%

2020

$14.1M

-8%

2021

$13.0M

-3%

2022

$12.5M

+1%

2023

$12.7M

-6%

2024

$11.9M

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 86% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S5161Emergency response system, per monthSee all providers →

$75.5M

2.8M claims

$26.99

$29.97

0.9×

Normal range

S5161Normal range

Emergency response system, per month

$75.5M

2.8M claims · 85.6%

Your Cost: $26.99/claim|Median: $29.97

0.9× median

S5185Medication reminder service, NOS, per monthSee all providers →

$6.9M

128K claims

$53.63

$44.39

1.2×

Normal range

S5185Normal range

Medication reminder service, NOS, per month

$6.9M

128K claims · 7.8%

Your Cost: $53.63/claim|Median: $44.39

1.2× median

A9280 See all providers →

$2.3M

47K claims

$49.28

$36.98

1.3×

Top 25%

A9280Top 25%

$2.3M

47K claims · 2.6%

Your Cost: $49.28/claim|Median: $36.98

1.3× median

A9279 See all providers →

$1.9M

51K claims

$37.96

$10.45

3.6×

Normal range

A9279Normal range

$1.9M

51K claims · 2.2%

Your Cost: $37.96/claim|Median: $10.45

3.6× median

S5160Emergency response system, per monthSee all providers →

$1.4M

38K claims

$37.41

$38.52

1.0×

Normal range

S5160Normal range

Emergency response system, per month

$1.4M

38K claims · 1.6%

Your Cost: $37.41/claim|Median: $38.52

1.0× median

T2029Specialized transportation, waiver, per mile, extraSee all providers →

$140K

3,610 claims

$38.86

$141.34

0.3×

Normal range

T2029Normal range

Specialized transportation, waiver, per mile, extra

$140K

3,610 claims · 0.2%

Your Cost: $38.86/claim|Median: $141.34

0.3× median

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