Is Provider 1780687327 flagged for Medicaid fraud?

Provider 1780687327 (NPI: 1780687327) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1780687327 bill Medicaid?

Provider 1780687327 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1780687327?

NPI 1780687327 is the National Provider Identifier for Provider 1780687327.. This NPI is registered with the CMS NPI Registry.

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Provider 1780687327

NPI: 1780687327Share

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.6M

$15,572,568

Total Claims

139K

Beneficiaries

17K

8.0 claims/patient

Avg Cost/Claim

$112

Monthly Spending Trend

Yearly Spending

2018

$2.2M

-5%

2019

$2.1M

-1%

2020

$2.1M

+9%

2021

$2.3M

+17%

2022

$2.6M

-4%

2023

$2.5M

-29%

2024

$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 45% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2046Habilitation, residential, waiver; per monthSee all providers →

$7.1M

11K claims

$641.27

$1,795.74

0.4×

Normal range

T2046Normal range

Habilitation, residential, waiver; per month

$7.1M

11K claims · 45.5%

Your Cost: $641.27/claim|Median: $1,795.74

0.4× median

99600Unlisted home visit service or procedureSee all providers →

$3.5M

51K claims

$69.56

$111.99

0.6×

Normal range

99600Normal range

Unlisted home visit service or procedure

$3.5M

51K claims · 22.7%

Your Cost: $69.56/claim|Median: $111.99

0.6× median

T2042Financial management, self-directed, waiver, per monthSee all providers →

$2.5M

21K claims

$116.22

$188.03

0.6×

Normal range

T2042Normal range

Financial management, self-directed, waiver, per month

$2.5M

21K claims · 15.8%

Your Cost: $116.22/claim|Median: $188.03

0.6× median

T1019Personal care services, per 15 minSee all providers →

$951K

29K claims

$32.54

$82.47

0.4×

Normal range

T1019Normal range

Personal care services, per 15 min

$951K

29K claims · 6.1%

Your Cost: $32.54/claim|Median: $82.47

0.4× median

97799 See all providers →

$910K

13K claims

$67.56

$16.72

4.0×

Top 10%

97799Top 10%

$910K

13K claims · 5.8%

Your Cost: $67.56/claim|Median: $16.72

4.0× median

97139 See all providers →

$523K

7,557 claims

$69.21

$28.71

2.4×

Normal range

97139Normal range

$523K

7,557 claims · 3.4%

Your Cost: $69.21/claim|Median: $28.71

2.4× median

T1502Administration of oral, intramuscular, or subcutaneous medicationSee all providers →

$104K

2,613 claims

$39.94

$7.86

5.1×

Top 25%

T1502Top 25%

Administration of oral, intramuscular, or subcutaneous medication

$104K

2,613 claims · 0.7%

Your Cost: $39.94/claim|Median: $7.86

5.1× median

92507Speech/hearing/language treatmentSee all providers →

$17K

214 claims

$78.68

$49.45

1.6×

Top 25%

92507Top 25%

Speech/hearing/language treatment

$17K

214 claims · 0.1%

Your Cost: $78.68/claim|Median: $49.45

1.6× median

99509Home visit, assistance w/ ADLsSee all providers →

$1K

27 claims

$43.88

$51.71

0.8×

Normal range

99509Normal range

Home visit, assistance w/ ADLs

$1K

27 claims · 0.0%

Your Cost: $43.88/claim|Median: $51.71

0.8× median

G0299Skilled nursing services, home health, per visit, RNSee all providers →

$1K

2,177 claims

$0.53

$51.67

0.0×

Normal range

G0299Normal range

Skilled nursing services, home health, per visit, RN

$1K

2,177 claims · 0.0%

Your Cost: $0.53/claim|Median: $51.67

0.0× median

G0155Services of clinical social worker in home health, per 15 minSee all providers →

$388

85 claims

$4.56

$7.04

0.6×

Normal range

G0155Normal range

Services of clinical social worker in home health, per 15 min

$388

85 claims · 0.0%

Your Cost: $4.56/claim|Median: $7.04

0.6× median

Q5001Injection, filgrastim-sndz, biosimilar, 1 mcgSee all providers →

56 claims

$0.00

$23.43

—

Normal range

Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43

Q5002 See all providers →

32 claims

$0.00

$23.39

—

Normal range

Q5002Normal range

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.39

S5170Homemaker service, NOS, per diemSee all providers →

128 claims

$0.00

$19.89

—

Normal range

S5170Normal range

Homemaker service, NOS, per diem

128 claims · 0.0%

Your Cost: $0.00/claim|Median: $19.89

G0156Home health aide services, per visitSee all providers →

307 claims

$0.00

$39.42

—

Normal range

G0156Normal range

Home health aide services, per visit

307 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42

G0152Occupational therapy services, home health, per visitSee all providers →

99 claims

$0.00

$68.93

—

Normal range

G0152Normal range

Occupational therapy services, home health, per visit

99 claims · 0.0%

Your Cost: $0.00/claim|Median: $68.93

G0151Physical therapy services, home health, per visitSee all providers →

247 claims

$0.00

$67.94

—

Normal range

G0151Normal range

Physical therapy services, home health, per visit

247 claims · 0.0%

Your Cost: $0.00/claim|Median: $67.94

Q5003Injection, infliximab-dyyb, biosimilar, 10 mgSee all providers →

16 claims

$0.00

$177.99

—

Normal range

Q5003Normal range

Injection, infliximab-dyyb, biosimilar, 10 mg

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $177.99

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