Is Provider 1790065845 flagged for Medicaid fraud?

Provider 1790065845 (NPI: 1790065845) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1790065845 bill Medicaid?

Provider 1790065845 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1790065845?

NPI 1790065845 is the National Provider Identifier for Provider 1790065845.. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Provider 1790065845

NPI: 1790065845Share

Active Billing Period:2019-07→2024-06(47 months)

Total Paid

$10.9M

$10,932,384

Total Claims

130K

Beneficiaries

26K

5.0 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2019

$6K

+13458%

2020

$796K

+372%

2021

$3.8M

-16%

2022

$3.2M

-24%

2023

$2.4M

-65%

2024

$831K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 37% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

92507Speech/hearing/language treatmentSee all providers →

$4.1M

47K claims

$87.49

$49.45

1.8×

Top 10%

92507Top 10%

Speech/hearing/language treatment

$4.1M

47K claims · 37.3%

Your Cost: $87.49/claim|Median: $49.45

1.8× median

97530Therapeutic activities, each 15 minSee all providers →

$3.4M

40K claims

$85.51

$33.11

2.6×

Top 10%

97530Top 10%

Therapeutic activities, each 15 min

$3.4M

40K claims · 31.0%

Your Cost: $85.51/claim|Median: $33.11

2.6× median

92526Treatment of swallowing dysfunction and/or oral functionSee all providers →

$1.8M

18K claims

$96.76

$49.74

1.9×

Top 10%

92526Top 10%

Treatment of swallowing dysfunction and/or oral function

$1.8M

18K claims · 16.0%

Your Cost: $96.76/claim|Median: $49.74

1.9× median

97110Therapeutic exercises, each 15 minSee all providers →

$678K

11K claims

$60.76

$24.49

2.5×

Top 25%

97110Top 25%

Therapeutic exercises, each 15 min

$678K

11K claims · 6.2%

Your Cost: $60.76/claim|Median: $24.49

2.5× median

97112Therapeutic procedure, neuromuscular reeducation, per 15 minutesSee all providers →

$672K

11K claims

$60.05

$20.04

3.0×

Top 5%

97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$672K

11K claims · 6.1%

Your Cost: $60.05/claim|Median: $20.04

3.0× median

S9152Speech therapy, re-evaluationSee all providers →

$183K

1,588 claims

$115.44

$92.99

1.2×

Normal range

S9152Normal range

Speech therapy, re-evaluation

$183K

1,588 claims · 1.7%

Your Cost: $115.44/claim|Median: $92.99

1.2× median

97168OT re-evaluationSee all providers →

$64K

721 claims

$88.57

$50.43

1.8×

Normal range

97168Normal range

OT re-evaluation

$64K

721 claims · 0.6%

Your Cost: $88.57/claim|Median: $50.43

1.8× median

97164PT re-evaluationSee all providers →

$48K

567 claims

$84.32

$32.66

2.6×

Top 10%

97164Top 10%

PT re-evaluation

$48K

567 claims · 0.4%

Your Cost: $84.32/claim|Median: $32.66

2.6× median

92523Evaluation of speech sound production with language comprehensionSee all providers →

$45K

318 claims

$140.76

$110.87

1.3×

Normal range

92523Normal range

Evaluation of speech sound production with language comprehension

$45K

318 claims · 0.4%

Your Cost: $140.76/claim|Median: $110.87

1.3× median

92610Evaluation of swallowing functionSee all providers →

$19K

138 claims

$139.24

$45.22

3.1×

Top 10%

92610Top 10%

Evaluation of swallowing function

$19K

138 claims · 0.2%

Your Cost: $139.24/claim|Median: $45.22

3.1× median

← All providers How we detect fraud →