Is Provider 1801897939 flagged for Medicaid fraud?

Provider 1801897939 (NPI: 1801897939) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1801897939 bill Medicaid?

Provider 1801897939 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1801897939?

NPI 1801897939 is the National Provider Identifier for Provider 1801897939.. This NPI is registered with the CMS NPI Registry.

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Provider 1801897939

NPI: 1801897939Share

Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$14.1M

$14,134,096

Total Claims

23K

Beneficiaries

19K

1.2 claims/patient

Avg Cost/Claim

$606

Monthly Spending Trend

Yearly Spending

2018

$1.8M

+13%

2019

$2.0M

+6%

2020

$2.1M

+11%

2021

$2.3M

+5%

2022

$2.5M

-13%

2023

$2.2M

-41%

2024

$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (A0435 (ALS mileage, per mile, fixed wing, level 2)) accounts for 58% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

A0435ALS mileage, per mile, fixed wing, level 2See all providers →

$8.2M

3,547 claims

$2,323.98

$1,235.61

1.9×

Top 10%

A0435Top 10%

ALS mileage, per mile, fixed wing, level 2

$8.2M

3,547 claims · 58.3%

Your Cost: $2,323.98/claim|Median: $1,235.61

1.9× median

A0430ALS mileage, per mile, fixed wingSee all providers →

$4.7M

3,983 claims

$1,171.18

$1,588.22

0.7×

Normal range

A0430Normal range

ALS mileage, per mile, fixed wing

$4.7M

3,983 claims · 33.0%

Your Cost: $1,171.18/claim|Median: $1,588.22

0.7× median

A0427Ambulance, ALS emergency transport Level 1See all providers →

$739K

4,246 claims

$174.09

$164.22

1.1×

Normal range

A0427Normal range

Ambulance, ALS emergency transport Level 1

$739K

4,246 claims · 5.2%

Your Cost: $174.09/claim|Median: $164.22

1.1× median

A0425Ground mileage, per statute mileSee all providers →

$139K

5,824 claims

$23.95

$23.36

1.0×

Normal range

A0425Normal range

Ground mileage, per statute mile

$139K

5,824 claims · 1.0%

Your Cost: $23.95/claim|Median: $23.36

1.0× median

A0429Ambulance, BLS emergency transportSee all providers →

$130K

1,005 claims

$129.48

$138.19

0.9×

Normal range

A0429Normal range

Ambulance, BLS emergency transport

$130K

1,005 claims · 0.9%

Your Cost: $129.48/claim|Median: $138.19

0.9× median

T2007Transportation waiting time, air ambulance/rotary wingSee all providers →

$121K

1,567 claims

$77.44

$19.56

4.0×

Top 10%

T2007Top 10%

Transportation waiting time, air ambulance/rotary wing

$121K

1,567 claims · 0.9%

Your Cost: $77.44/claim|Median: $19.56

4.0× median

A0998 See all providers →

$83K

659 claims

$126.65

$63.75

2.0×

Top 25%

A0998Top 25%

$83K

659 claims · 0.6%

Your Cost: $126.65/claim|Median: $63.75

2.0× median

A0422 See all providers →

$11K

1,268 claims

$8.50

$9.63

0.9×

Normal range

A0422Normal range

$11K

1,268 claims · 0.1%

Your Cost: $8.50/claim|Median: $9.63

0.9× median

93041 See all providers →

$1K

491 claims

$2.36

$4.36

0.5×

Normal range

93041Normal range

$1K

491 claims · 0.0%

Your Cost: $2.36/claim|Median: $4.36

0.5× median

A0398 See all providers →

$416

433 claims

$0.96

$13.41

0.1×

Normal range

A0398Normal range

$416

433 claims · 0.0%

Your Cost: $0.96/claim|Median: $13.41

0.1× median

82962Blood glucose test by monitoring deviceSee all providers →

$116

280 claims

$0.41

$1.40

0.3×

Normal range

82962Normal range

Blood glucose test by monitoring device

$116

280 claims · 0.0%

Your Cost: $0.41/claim|Median: $1.40

0.3× median

82948 See all providers →

$40

17 claims

$2.36

$1.78

1.3×

Normal range

82948Normal range

$40

17 claims · 0.0%

Your Cost: $2.36/claim|Median: $1.78

1.3× median

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