Is Provider 1699218669 flagged for Medicaid fraud?

Provider 1699218669 (NPI: 1699218669) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1699218669 bill Medicaid?

Provider 1699218669 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1699218669?

NPI 1699218669 is the National Provider Identifier for Provider 1699218669.. This NPI is registered with the CMS NPI Registry.

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Provider 1699218669

NPI: 1699218669Share

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

Total Paid

$12.6M

$12,612,060

Total Claims

980K

Beneficiaries

91K

10.8 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018

$550K

+196%

2019

$1.6M

+56%

2020

$2.5M

-1%

2021

$2.5M

-28%

2022

$1.8M

+5%

2023

$1.9M

-12%

2024

$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 30% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$3.8M

17K claims

$224.68

$137.85

1.6×

Normal range

G9012Normal range

Other specified case management service, per 15 minutes

$3.8M

17K claims · 29.9%

Your Cost: $224.68/claim|Median: $137.85

1.6× median

H0020Alcohol/drug services; methadone administrationSee all providers →

$3.0M

295K claims

$10.10

$18.95

0.5×

Normal range

H0020Normal range

Alcohol/drug services; methadone administration

$3.0M

295K claims · 23.6%

Your Cost: $10.10/claim|Median: $18.95

0.5× median

S0109 See all providers →

$2.6M

442K claims

$5.96

$4.67

1.3×

Normal range

S0109Normal range

$2.6M

442K claims · 20.9%

Your Cost: $5.96/claim|Median: $4.67

1.3× median

99211Office/outpatient visit, minimal complexitySee all providers →

$1.7M

148K claims

$11.71

$12.93

0.9×

Normal range

99211Normal range

Office/outpatient visit, minimal complexity

$1.7M

148K claims · 13.7%

Your Cost: $11.71/claim|Median: $12.93

0.9× median

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

$713K

26K claims

$27.49

$74.63

0.4×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$713K

26K claims · 5.7%

Your Cost: $27.49/claim|Median: $74.63

0.4× median

99408 See all providers →

$307K

33K claims

$9.36

$9.32

1.0×

Normal range

99408Normal range

$307K

33K claims · 2.4%

Your Cost: $9.36/claim|Median: $9.32

1.0× median

90791Psychiatric diagnostic evaluationSee all providers →

$138K

1,501 claims

$92.19

$99.21

0.9×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$138K

1,501 claims · 1.1%

Your Cost: $92.19/claim|Median: $99.21

0.9× median

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

$128K

2,484 claims

$51.57

$53.41

1.0×

Normal range

99214Normal range

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

$128K

2,484 claims · 1.0%

Your Cost: $51.57/claim|Median: $53.41

1.0× median

H0014 See all providers →

$85K

746 claims

$113.42

$137.81

0.8×

Normal range

H0014Normal range

$85K

746 claims · 0.7%

Your Cost: $113.42/claim|Median: $137.81

0.8× median

99215Office/outpatient visit, high complexitySee all providers →

$30K

1,051 claims

$28.12

$74.09

0.4×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$30K

1,051 claims · 0.2%

Your Cost: $28.12/claim|Median: $74.09

0.4× median

80305 See all providers →

$28K

3,124 claims

$8.83

$7.44

1.2×

Normal range

80305Normal range

$28K

3,124 claims · 0.2%

Your Cost: $8.83/claim|Median: $7.44

1.2× median

82075Alcohol (ethanol) breath testSee all providers →

$26K

5,342 claims

$4.90

$16.59

0.3×

Normal range

82075Normal range

Alcohol (ethanol) breath test

$26K

5,342 claims · 0.2%

Your Cost: $4.90/claim|Median: $16.59

0.3× median

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

$23K

894 claims

$26.09

$37.81

0.7×

Normal range

99213Normal range

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

$23K

894 claims · 0.2%

Your Cost: $26.09/claim|Median: $37.81

0.7× median

86580Tuberculosis (TB) skin testSee all providers →

$9K

1,280 claims

$7.18

$4.46

1.6×

Top 25%

86580Top 25%

Tuberculosis (TB) skin test

$9K

1,280 claims · 0.1%

Your Cost: $7.18/claim|Median: $4.46

1.6× median

81025Urine pregnancy testSee all providers →

$8K

1,448 claims

$5.44

$4.81

1.1×

Normal range

81025Normal range

Urine pregnancy test

$8K

1,448 claims · 0.1%

Your Cost: $5.44/claim|Median: $4.81

1.1× median

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

$2K

69 claims

$33.66

$57.85

0.6×

Normal range

99203Normal range

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

$2K

69 claims · 0.0%

Your Cost: $33.66/claim|Median: $57.85

0.6× median

36415Collection of venous blood by venipunctureSee all providers →

$1K

1,232 claims

$0.97

$1.57

0.6×

Normal range

36415Normal range

Collection of venous blood by venipuncture

$1K

1,232 claims · 0.0%

Your Cost: $0.97/claim|Median: $1.57

0.6× median

99406 See all providers →

$828

301 claims

$2.75

$6.53

0.4×

Normal range

99406Normal range

$828

301 claims · 0.0%

Your Cost: $2.75/claim|Median: $6.53

0.4× median

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

$87

13 claims

$6.69

$47.35

0.1×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$87

13 claims · 0.0%

Your Cost: $6.69/claim|Median: $47.35

0.1× median

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