Is Unknown Provider 1780098228 flagged for Medicaid fraud?

Unknown Provider 1780098228 (NPI: 1780098228) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Unknown Provider 1780098228 bill Medicaid?

Unknown Provider 1780098228 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1780098228?

NPI 1780098228 is the National Provider Identifier for Unknown Provider 1780098228.. This NPI is registered with the CMS NPI Registry.

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Unknown Provider 1780098228

NPI: 1780098228Share

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

Total Paid

$18.6M

$18,582,342

Total Claims

426K

Beneficiaries

253K

1.7 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018

$7K

+13893%

2019

$1.0M

+203%

2020

$3.1M

+52%

2021

$4.6M

+15%

2022

$5.3M

-47%

2023

$2.8M

-40%

2024

$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 42% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$7.8M

155K claims

$50.18

$53.41

0.9×

Normal range

99214Normal range

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

$7.8M

155K claims · 41.8%

Your Cost: $50.18/claim|Median: $53.41

0.9× median

90833Psychotherapy, 30 min, add-on to E/M serviceSee all providers →

$5.6M

145K claims

$38.85

$38.83

1.0×

Normal range

90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$5.6M

145K claims · 30.2%

Your Cost: $38.85/claim|Median: $38.83

1.0× median

80307Drug test, presumptive, by chemistry analyzersSee all providers →

$2.4M

55K claims

$43.31

$35.43

1.2×

Normal range

80307Normal range

Drug test, presumptive, by chemistry analyzers

$2.4M

55K claims · 12.8%

Your Cost: $43.31/claim|Median: $35.43

1.2× median

90836Psychotherapy, 45 min, add-on to E/MSee all providers →

$820K

18K claims

$46.30

$56.18

0.8×

Normal range

90836Normal range

Psychotherapy, 45 min, add-on to E/M

$820K

18K claims · 4.4%

Your Cost: $46.30/claim|Median: $56.18

0.8× median

99215Office/outpatient visit, high complexitySee all providers →

$536K

6,351 claims

$84.38

$74.09

1.1×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$536K

6,351 claims · 2.9%

Your Cost: $84.38/claim|Median: $74.09

1.1× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$437K

6,245 claims

$69.90

$84.03

0.8×

Normal range

99204Normal range

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

$437K

6,245 claims · 2.3%

Your Cost: $69.90/claim|Median: $84.03

0.8× median

90837Psychotherapy, 60 minutesSee all providers →

$361K

4,436 claims

$81.38

$85.66

1.0×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$361K

4,436 claims · 1.9%

Your Cost: $81.38/claim|Median: $85.66

1.0× median

99417 See all providers →

$214K

2,326 claims

$91.91

$34.90

2.6×

Top 25%

99417Top 25%

$214K

2,326 claims · 1.2%

Your Cost: $91.91/claim|Median: $34.90

2.6× median

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

$160K

15K claims

$10.52

$37.81

0.3×

Normal range

99213Normal range

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

$160K

15K claims · 0.9%

Your Cost: $10.52/claim|Median: $37.81

0.3× median

90832Psychotherapy, 30 minutesSee all providers →

$107K

2,511 claims

$42.48

$41.28

1.0×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$107K

2,511 claims · 0.6%

Your Cost: $42.48/claim|Median: $41.28

1.0× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$47K

391 claims

$121.04

$108.91

1.1×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$47K

391 claims · 0.3%

Your Cost: $121.04/claim|Median: $108.91

1.1× median

99205Office/outpatient visit, new patient, high complexitySee all providers →

$43K

500 claims

$86.67

$111.09

0.8×

Normal range

99205Normal range

Office/outpatient visit, new patient, high complexity

$43K

500 claims · 0.2%

Your Cost: $86.67/claim|Median: $111.09

0.8× median

99000 See all providers →

$40K

11K claims

$3.45

$2.30

1.5×

Normal range

99000Normal range

$40K

11K claims · 0.2%

Your Cost: $3.45/claim|Median: $2.30

1.5× median

90791Psychiatric diagnostic evaluationSee all providers →

$15K

117 claims

$130.45

$99.21

1.3×

Top 25%

90791Top 25%

Psychiatric diagnostic evaluation

$15K

117 claims · 0.1%

Your Cost: $130.45/claim|Median: $99.21

1.3× median

99358 See all providers →

$8K

588 claims

$13.91

$14.34

1.0×

Normal range

99358Normal range

$8K

588 claims · 0.0%

Your Cost: $13.91/claim|Median: $14.34

1.0× median

99359 See all providers →

$8K

583 claims

$13.58

$10.39

1.3×

Normal range

99359Normal range

$8K

583 claims · 0.0%

Your Cost: $13.58/claim|Median: $10.39

1.3× median

90834Psychotherapy, 45 minutesSee all providers →

$7K

101 claims

$66.05

$63.65

1.0×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$7K

101 claims · 0.0%

Your Cost: $66.05/claim|Median: $63.65

1.0× median

T1016Case management, each 15 minSee all providers →

$4K

262 claims

$14.74

$49.62

0.3×

Normal range

T1016Normal range

Case management, each 15 min

$4K

262 claims · 0.0%

Your Cost: $14.74/claim|Median: $49.62

0.3× median

H2014Skills training & development, per 15 minSee all providers →

$2K

56 claims

$27.87

$83.88

0.3×

Normal range

H2014Normal range

Skills training & development, per 15 min

$2K

56 claims · 0.0%

Your Cost: $27.87/claim|Median: $83.88

0.3× median

H0002Behavioral health screeningSee all providers →

$1K

70 claims

$15.67

$38.77

0.4×

Normal range

H0002Normal range

Behavioral health screening

$1K

70 claims · 0.0%

Your Cost: $15.67/claim|Median: $38.77

0.4× median

99212Office/outpatient visit, low complexitySee all providers →

$545

32 claims

$17.04

$25.06

0.7×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$545

32 claims · 0.0%

Your Cost: $17.04/claim|Median: $25.06

0.7× median

H0001Alcohol and/or drug assessmentSee all providers →

$370

15 claims

$24.64

$94.22

0.3×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$370

15 claims · 0.0%

Your Cost: $24.64/claim|Median: $94.22

0.3× median

96136Psychological/neuropsychological testing, first 30 minSee all providers →

$312

14 claims

$22.28

$30.49

0.7×

Normal range

96136Normal range

Psychological/neuropsychological testing, first 30 min

$312

14 claims · 0.0%

Your Cost: $22.28/claim|Median: $30.49

0.7× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$140

16 claims

$8.75

$9.56

0.9×

Normal range

96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$140

16 claims · 0.0%

Your Cost: $8.75/claim|Median: $9.56

0.9× median

82570 See all providers →

$103

650 claims

$0.16

$3.18

0.0×

Normal range

82570Normal range

$103

650 claims · 0.0%

Your Cost: $0.16/claim|Median: $3.18

0.0× median

81003Urinalysis, automated without microscopySee all providers →

$58

807 claims

$0.07

$1.48

0.0×

Normal range

81003Normal range

Urinalysis, automated without microscopy

$58

807 claims · 0.0%

Your Cost: $0.07/claim|Median: $1.48

0.0× median

83986 See all providers →

$24

696 claims

$0.03

$2.70

0.0×

Normal range

83986Normal range

$24

696 claims · 0.0%

Your Cost: $0.03/claim|Median: $2.70

0.0× median

81005 See all providers →

340 claims

$0.00

$1.10

—

Normal range

81005Normal range

340 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.10

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