Is Provider 1750329603 flagged for Medicaid fraud?

Provider 1750329603 (NPI: 1750329603) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1750329603 bill Medicaid?

Provider 1750329603 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1750329603?

NPI 1750329603 is the National Provider Identifier for Provider 1750329603.. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Provider 1750329603

NPI: 1750329603Share

Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.8M

$9,762,851

Total Claims

131K

Beneficiaries

123K

1.1 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018

$137K

-12%

2019

$120K

+415%

2020

$620K

+420%

2021

$3.2M

-11%

2022

$2.9M

-26%

2023

$2.1M

-70%

2024

$645K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 99% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$9.6M

53K claims

$183.58

$121.16

1.5×

Top 25%

T1015Top 25%

Clinic visit/encounter, all-inclusive

$9.6M

53K claims · 98.8%

Your Cost: $183.58/claim|Median: $121.16

1.5× median

99499Unlisted evaluation and management serviceSee all providers →

$34K

1,790 claims

$19.24

$30.88

0.6×

Normal range

99499Normal range

Unlisted evaluation and management service

$34K

1,790 claims · 0.4%

Your Cost: $19.24/claim|Median: $30.88

0.6× median

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

$12K

17K claims

$0.67

$37.81

0.0×

Normal range

99213Normal range

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

$12K

17K claims · 0.1%

Your Cost: $0.67/claim|Median: $37.81

0.0× median

0012ACOVID-19 vaccine admin, Moderna, 2nd doseSee all providers →

$10K

282 claims

$35.93

$33.85

1.1×

Normal range

0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$10K

282 claims · 0.1%

Your Cost: $35.93/claim|Median: $33.85

1.1× median

G0467Federally qualified health center visit, mental healthSee all providers →

$9K

591 claims

$15.87

$21.91

0.7×

Normal range

G0467Normal range

Federally qualified health center visit, mental health

$9K

591 claims · 0.1%

Your Cost: $15.87/claim|Median: $21.91

0.7× median

0011ACOVID-19 vaccine admin, Moderna, 1st doseSee all providers →

$9K

291 claims

$31.57

$25.93

1.2×

Normal range

0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$9K

291 claims · 0.1%

Your Cost: $31.57/claim|Median: $25.93

1.2× median

0002ACOVID-19 vaccine admin, Pfizer, 2nd doseSee all providers →

$9K

248 claims

$36.94

$36.70

1.0×

Normal range

0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$9K

248 claims · 0.1%

Your Cost: $36.94/claim|Median: $36.70

1.0× median

G2025 See all providers →

$7K

107 claims

$63.51

$15.63

4.1×

Top 10%

G2025Top 10%

$7K

107 claims · 0.1%

Your Cost: $63.51/claim|Median: $15.63

4.1× median

0001ACOVID-19 vaccine admin, Pfizer, 1st doseSee all providers →

$7K

205 claims

$32.78

$33.72

1.0×

Normal range

0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$7K

205 claims · 0.1%

Your Cost: $32.78/claim|Median: $33.72

1.0× median

0072A See all providers →

$4K

110 claims

$36.00

$39.57

0.9×

Normal range

0072ANormal range

$4K

110 claims · 0.0%

Your Cost: $36.00/claim|Median: $39.57

0.9× median

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

$3K

3,341 claims

$0.89

$53.41

0.0×

Normal range

99214Normal range

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

$3K

3,341 claims · 0.0%

Your Cost: $0.89/claim|Median: $53.41

0.0× median

0064A See all providers →

$2K

88 claims

$28.18

$34.17

0.8×

Normal range

0064ANormal range

$2K

88 claims · 0.0%

Your Cost: $28.18/claim|Median: $34.17

0.8× median

0071A See all providers →

$2K

71 claims

$24.23

$38.71

0.6×

Normal range

0071ANormal range

$2K

71 claims · 0.0%

Your Cost: $24.23/claim|Median: $38.71

0.6× median

99212Office/outpatient visit, low complexitySee all providers →

$944

2,300 claims

$0.41

$25.06

0.0×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$944

2,300 claims · 0.0%

Your Cost: $0.41/claim|Median: $25.06

0.0× median

0502F See all providers →

$610

161 claims

$3.79

$44.10

0.1×

Normal range

0502FNormal range

$610

161 claims · 0.0%

Your Cost: $3.79/claim|Median: $44.10

0.1× median

3079F See all providers →

$573

353 claims

$1.62

$0.12

13.5×

Top 25%

3079FTop 25%

$573

353 claims · 0.0%

Your Cost: $1.62/claim|Median: $0.12

13.5× median

96110Developmental screening, per standardized instrumentSee all providers →

$552

3,414 claims

$0.16

$9.10

0.0×

Normal range

96110Normal range

Developmental screening, per standardized instrument

$552

3,414 claims · 0.0%

Your Cost: $0.16/claim|Median: $9.10

0.0× median

3078F See all providers →

$527

1,037 claims

$0.51

$0.08

6.4×

Normal range

3078FNormal range

$527

1,037 claims · 0.0%

Your Cost: $0.51/claim|Median: $0.08

6.4× median

3077F See all providers →

$510

136 claims

$3.75

$0.12

31.3×

Top 10%

3077FTop 10%

$510

136 claims · 0.0%

Your Cost: $3.75/claim|Median: $0.12

31.3× median

3074F See all providers →

$497

1,253 claims

$0.40

$0.11

3.6×

Normal range

3074FNormal range

$497

1,253 claims · 0.0%

Your Cost: $0.40/claim|Median: $0.11

3.6× median

99391Preventive medicine, established patient, infant (under 1)See all providers →

$320

795 claims

$0.40

$69.35

0.0×

Normal range

99391Normal range

Preventive medicine, established patient, infant (under 1)

$320

795 claims · 0.0%

Your Cost: $0.40/claim|Median: $69.35

0.0× median

99173 See all providers →

$267

3,196 claims

$0.08

$2.16

0.0×

Normal range

99173Normal range

$267

3,196 claims · 0.0%

Your Cost: $0.08/claim|Median: $2.16

0.0× median

92551Screening audiometry, pure tone, air onlySee all providers →

$246

3,117 claims

$0.08

$6.61

0.0×

Normal range

92551Normal range

Screening audiometry, pure tone, air only

$246

3,117 claims · 0.0%

Your Cost: $0.08/claim|Median: $6.61

0.0× median

99394Preventive medicine, established patient, age 12-17See all providers →

$237

638 claims

$0.37

$80.15

0.0×

Normal range

99394Normal range

Preventive medicine, established patient, age 12-17

$237

638 claims · 0.0%

Your Cost: $0.37/claim|Median: $80.15

0.0× median

3075F See all providers →

$213

99 claims

$2.16

$0.15

14.4×

Top 25%

3075FTop 25%

$213

99 claims · 0.0%

Your Cost: $2.16/claim|Median: $0.15

14.4× median

3080F See all providers →

$200

51 claims

$3.92

$0.16

24.5×

Top 10%

3080FTop 10%

$200

51 claims · 0.0%

Your Cost: $3.92/claim|Median: $0.16

24.5× median

D1110Prophylaxis, adult cleaningSee all providers →

$190

1,482 claims

$0.13

$43.38

0.0×

Normal range

D1110Normal range

Prophylaxis, adult cleaning

$190

1,482 claims · 0.0%

Your Cost: $0.13/claim|Median: $43.38

0.0× median

D0210Intraoral, complete series of radiographic imagesSee all providers →

$189

310 claims

$0.61

$46.33

0.0×

Normal range

D0210Normal range

Intraoral, complete series of radiographic images

$189

310 claims · 0.0%

Your Cost: $0.61/claim|Median: $46.33

0.0× median

99393Preventive medicine, established patient, age 5-11See all providers →

$180

1,074 claims

$0.17

$74.82

0.0×

Normal range

99393Normal range

Preventive medicine, established patient, age 5-11

$180

1,074 claims · 0.0%

Your Cost: $0.17/claim|Median: $74.82

0.0× median

90460Immunization administration, first vaccine/toxoid, with counselingSee all providers →

$104

5,017 claims

$0.02

$17.85

0.0×

Normal range

90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$104

5,017 claims · 0.0%

Your Cost: $0.02/claim|Median: $17.85

0.0× median

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