Is HOPE ENTERPRISES, INC. flagged for Medicaid fraud?

HOPE ENTERPRISES, INC. (NPI: 1730350430) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does HOPE ENTERPRISES, INC. bill Medicaid?

HOPE ENTERPRISES, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Voluntary or Charitable provider. Located in WILLIAMSPORT, PA.

What is NPI 1730350430?

NPI 1730350430 is the National Provider Identifier for HOPE ENTERPRISES, INC.. They are a Voluntary or Charitable provider based in WILLIAMSPORT, PA. This NPI is registered with the CMS NPI Registry.

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HOPE ENTERPRISES, INC.

Voluntary or Charitable·WILLIAMSPORT, PA·NPI: 1730350430Share

Compared to Voluntary or Charitable Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.1M is at the below 25th percentile among 13 Voluntary or Charitable providers.

Active Billing Period:2018-01→2024-11(54 months)

Total Paid

$36.1M

$36,117,113

Total Claims

26K

Beneficiaries

4,055

6.5 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018

$202K

-27%

2019

$147K

+7452%

2022

$11.1M

+8%

2023

$12.0M

+6%

2024

$12.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (W9045) accounts for 55% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

W9045 See all providers →

$19.8M

12K claims

$1,600.27

$477.91

3.3×

Top 1%

W9045Top 1%

$19.8M

12K claims · 54.9%

Your Cost: $1,600.27/claim|Median: $477.91

3.3× median

W9029 See all providers →

$15.2M

6,494 claims

$2,339.38

$1,506.36

1.6×

Top 1%

W9029Top 1%

$15.2M

6,494 claims · 42.1%

Your Cost: $2,339.38/claim|Median: $1,506.36

1.6× median

W5996 See all providers →

$336K

1,699 claims

$197.65

$206.25

1.0×

Normal range

W5996Normal range

$336K

1,699 claims · 0.9%

Your Cost: $197.65/claim|Median: $206.25

1.0× median

W7060 See all providers →

$237K

1,495 claims

$158.75

$238.39

0.7×

Normal range

W7060Normal range

$237K

1,495 claims · 0.7%

Your Cost: $158.75/claim|Median: $238.39

0.7× median

97530Therapeutic activities, each 15 minSee all providers →

$178K

1,417 claims

$125.93

$33.11

3.8×

Top 5%

97530Top 5%

Therapeutic activities, each 15 min

$178K

1,417 claims · 0.5%

Your Cost: $125.93/claim|Median: $33.11

3.8× median

97110Therapeutic exercises, each 15 minSee all providers →

$170K

1,412 claims

$120.60

$24.49

4.9×

Top 5%

97110Top 5%

Therapeutic exercises, each 15 min

$170K

1,412 claims · 0.5%

Your Cost: $120.60/claim|Median: $24.49

4.9× median

W9794 See all providers →

$94K

469 claims

$200.74

1.0×

Top 1%

W9794Top 1%

$94K

469 claims · 0.3%

Your Cost: $200.74/claim|Median: $200.74

1.0× median

W1726 See all providers →

$83K

917 claims

$90.97

$167.76

0.5×

Normal range

W1726Normal range

$83K

917 claims · 0.2%

Your Cost: $90.97/claim|Median: $167.76

0.5× median

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