Is Provider 1639140189 flagged for Medicaid fraud?

Provider 1639140189 (NPI: 1639140189) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1639140189 bill Medicaid?

Provider 1639140189 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1639140189?

NPI 1639140189 is the National Provider Identifier for Provider 1639140189.. This NPI is registered with the CMS NPI Registry.

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Provider 1639140189

NPI: 1639140189Share

Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$9.1M

$9,055,855

Total Claims

74K

Beneficiaries

9,681

7.7 claims/patient

Avg Cost/Claim

$122

Monthly Spending Trend

Yearly Spending

2018

$1.4M

-22%

2019

$1.1M

+33%

2020

$1.4M

+1%

2021

$1.4M

-1%

2022

$1.4M

-3%

2023

$1.4M

-33%

2024

$935K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 64% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

90999Unlisted dialysis procedureSee all providers →

$5.8M

63K claims

$91.89

$63.73

1.4×

Normal range

90999Normal range

Unlisted dialysis procedure

$5.8M

63K claims · 63.5%

Your Cost: $91.89/claim|Median: $63.73

1.4× median

90945 See all providers →

$2.6M

1,576 claims

$1,659.18

$46.59

35.6×

Top 1%

90945Top 1%

$2.6M

1,576 claims · 28.9%

Your Cost: $1,659.18/claim|Median: $46.59

35.6× median

J0882Injection, darbepoetin alfa, one microgram, ESRD useSee all providers →

$556K

4,503 claims

$123.38

$49.66

2.5×

Top 25%

J0882Top 25%

Injection, darbepoetin alfa, one microgram, ESRD use

$556K

4,503 claims · 6.1%

Your Cost: $123.38/claim|Median: $49.66

2.5× median

Q4081Injection, epoetin alfa, 100 units (non-ESRD)See all providers →

$84K

2,753 claims

$30.55

$4.98

6.1×

Top 25%

Q4081Top 25%

Injection, epoetin alfa, 100 units (non-ESRD)

$84K

2,753 claims · 0.9%

Your Cost: $30.55/claim|Median: $4.98

6.1× median

J1756Injection, iron sucrose, 1 mgSee all providers →

$44K

1,385 claims

$32.11

$4.58

7.0×

Top 25%

J1756Top 25%

Injection, iron sucrose, 1 mg

$44K

1,385 claims · 0.5%

Your Cost: $32.11/claim|Median: $4.58

7.0× median

90732Pneumococcal vaccine (PPSV23)See all providers →

$2K

34 claims

$66.52

$36.96

1.8×

Normal range

90732Normal range

Pneumococcal vaccine (PPSV23)

$2K

34 claims · 0.0%

Your Cost: $66.52/claim|Median: $36.96

1.8× median

90688 See all providers →

$2K

153 claims

$10.34

$9.00

1.1×

Normal range

90688Normal range

$2K

153 claims · 0.0%

Your Cost: $10.34/claim|Median: $9.00

1.1× median

90694 See all providers →

$719

84 claims

$8.56

$6.60

1.3×

Normal range

90694Normal range

$719

84 claims · 0.0%

Your Cost: $8.56/claim|Median: $6.60

1.3× median

90756Influenza virus vaccine, quadrivalentSee all providers →

$526

34 claims

$15.46

$14.34

1.1×

Normal range

90756Normal range

Influenza virus vaccine, quadrivalent

$526

34 claims · 0.0%

Your Cost: $15.46/claim|Median: $14.34

1.1× median

A4657Syringe with needle, eachSee all providers →

833 claims

$0.00

$2.19

—

Normal range

A4657Normal range

Syringe with needle, each

833 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.19

90662 See all providers →

24 claims

$0.00

$6.55

—

Normal range

90662Normal range

24 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55

G0010 See all providers →

25 claims

$0.00

$6.83

—

Normal range

G0010Normal range

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.83

G0008 See all providers →

207 claims

$0.00

$2.54

—

Normal range

G0008Normal range

207 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54

90747 See all providers →

25 claims

$0.00

$36.38

—

Normal range

90747Normal range

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.38

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