Is Provider 1780626069 flagged for Medicaid fraud?

Provider 1780626069 (NPI: 1780626069) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1780626069 bill Medicaid?

Provider 1780626069 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1780626069?

NPI 1780626069 is the National Provider Identifier for Provider 1780626069.. This NPI is registered with the CMS NPI Registry.

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Provider 1780626069

NPI: 1780626069Share

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

Total Paid

$10.6M

$10,568,044

Total Claims

162K

Beneficiaries

138K

1.2 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018

$2.3M

-4%

2019

$2.2M

-26%

2020

$1.7M

-19%

2021

$1.3M

-21%

2022

$1.1M

+0%

2023

$1.1M

-14%

2024

$911K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 58% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

99285Emergency dept visit, high/urgent complexitySee all providers →

$6.1M

61K claims

$100.01

$85.65

1.2×

Normal range

99285Normal range

Emergency dept visit, high/urgent complexity

$6.1M

61K claims · 57.9%

Your Cost: $100.01/claim|Median: $85.65

1.2× median

99284Emergency dept visit, high complexitySee all providers →

$2.7M

39K claims

$70.00

$69.51

1.0×

Normal range

99284Normal range

Emergency dept visit, high complexity

$2.7M

39K claims · 25.7%

Your Cost: $70.00/claim|Median: $69.51

1.0× median

99283Emergency dept visit, moderate complexitySee all providers →

$1.0M

26K claims

$39.32

$42.48

0.9×

Normal range

99283Normal range

Emergency dept visit, moderate complexity

$1.0M

26K claims · 9.8%

Your Cost: $39.32/claim|Median: $42.48

0.9× median

99291Critical care, first 30-74 minutesSee all providers →

$603K

3,963 claims

$152.21

$101.24

1.5×

Top 25%

99291Top 25%

Critical care, first 30-74 minutes

$603K

3,963 claims · 5.7%

Your Cost: $152.21/claim|Median: $101.24

1.5× median

93042 See all providers →

$81K

28K claims

$2.92

$2.53

1.2×

Normal range

93042Normal range

$81K

28K claims · 0.8%

Your Cost: $2.92/claim|Median: $2.53

1.2× median

12001 See all providers →

$3K

147 claims

$23.06

$64.99

0.4×

Normal range

12001Normal range

$3K

147 claims · 0.0%

Your Cost: $23.06/claim|Median: $64.99

0.4× median

99406 See all providers →

$3K

335 claims

$9.44

$6.53

1.4×

Top 25%

99406Top 25%

$3K

335 claims · 0.0%

Your Cost: $9.44/claim|Median: $6.53

1.4× median

93308 See all providers →

$709

32 claims

$22.16

$20.08

1.1×

Normal range

93308Normal range

$709

32 claims · 0.0%

Your Cost: $22.16/claim|Median: $20.08

1.1× median

10061 See all providers →

$407

15 claims

$27.15

$101.03

0.3×

Normal range

10061Normal range

$407

15 claims · 0.0%

Your Cost: $27.15/claim|Median: $101.03

0.3× median

12011 See all providers →

$244

12 claims

$20.37

$67.02

0.3×

Normal range

12011Normal range

$244

12 claims · 0.0%

Your Cost: $20.37/claim|Median: $67.02

0.3× median

G8952 See all providers →

381 claims

$0.00

$0.03

—

Normal range

G8952Normal range

381 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03

G8427 See all providers →

1,649 claims

$0.00

$0.02

—

Normal range

G8427Normal range

1,649 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02

G8783 See all providers →

74 claims

$0.00

$0.04

—

Normal range

G8783Normal range

74 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04

G9744 See all providers →

1,151 claims

$0.00

$0.09

—

Normal range

G9744Normal range

1,151 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09

G8428 See all providers →

15 claims

$0.00

$0.12

—

Normal range

G8428Normal range

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12

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