Is Provider 1811968761 flagged for Medicaid fraud?

Provider 1811968761 (NPI: 1811968761) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1811968761 bill Medicaid?

Provider 1811968761 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1811968761?

NPI 1811968761 is the National Provider Identifier for Provider 1811968761.. This NPI is registered with the CMS NPI Registry.

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Provider 1811968761

NPI: 1811968761Share

Active Billing Period:2018-01→2024-10(81 months)

Total Paid

$8.1M

$8,068,651

Total Claims

62K

Beneficiaries

8,295

7.4 claims/patient

Avg Cost/Claim

$131

Monthly Spending Trend

Yearly Spending

2018

$1.3M

+2%

2019

$1.3M

+7%

2020

$1.4M

-4%

2021

$1.4M

-19%

2022

$1.1M

-6%

2023

$1.0M

-44%

2024

$580K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 61% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

90999Unlisted dialysis procedureSee all providers →

$4.9M

51K claims

$96.19

$63.73

1.5×

Normal range

90999Normal range

Unlisted dialysis procedure

$4.9M

51K claims · 61.2%

Your Cost: $96.19/claim|Median: $63.73

1.5× median

90945 See all providers →

$2.4M

1,442 claims

$1,671.64

$46.59

35.9×

Top 1%

90945Top 1%

$2.4M

1,442 claims · 29.9%

Your Cost: $1,671.64/claim|Median: $46.59

35.9× median

J0882Injection, darbepoetin alfa, one microgram, ESRD useSee all providers →

$580K

4,293 claims

$135.11

$49.66

2.7×

Top 25%

J0882Top 25%

Injection, darbepoetin alfa, one microgram, ESRD use

$580K

4,293 claims · 7.2%

Your Cost: $135.11/claim|Median: $49.66

2.7× median

Q4081Injection, epoetin alfa, 100 units (non-ESRD)See all providers →

$92K

2,568 claims

$35.79

$4.98

7.2×

Top 25%

Q4081Top 25%

Injection, epoetin alfa, 100 units (non-ESRD)

$92K

2,568 claims · 1.1%

Your Cost: $35.79/claim|Median: $4.98

7.2× median

J1756Injection, iron sucrose, 1 mgSee all providers →

$42K

1,275 claims

$32.85

$4.58

7.2×

Top 25%

J1756Top 25%

Injection, iron sucrose, 1 mg

$42K

1,275 claims · 0.5%

Your Cost: $32.85/claim|Median: $4.58

7.2× median

90677 See all providers →

$3K

25 claims

$117.25

$12.96

9.0×

Top 25%

90677Top 25%

$3K

25 claims · 0.0%

Your Cost: $117.25/claim|Median: $12.96

9.0× median

90688 See all providers →

$2K

132 claims

$12.03

$9.00

1.3×

Normal range

90688Normal range

$2K

132 claims · 0.0%

Your Cost: $12.03/claim|Median: $9.00

1.3× median

90694 See all providers →

$567

54 claims

$10.49

$6.60

1.6×

Normal range

90694Normal range

$567

54 claims · 0.0%

Your Cost: $10.49/claim|Median: $6.60

1.6× median

90756Influenza virus vaccine, quadrivalentSee all providers →

$561

28 claims

$20.02

$14.34

1.4×

Normal range

90756Normal range

Influenza virus vaccine, quadrivalent

$561

28 claims · 0.0%

Your Cost: $20.02/claim|Median: $14.34

1.4× median

90661 See all providers →

$479

13 claims

$36.85

$14.37

2.6×

Top 5%

90661Top 5%

$479

13 claims · 0.0%

Your Cost: $36.85/claim|Median: $14.37

2.6× median

G0008 See all providers →

136 claims

$0.00

$2.54

—

Normal range

G0008Normal range

136 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54

90662 See all providers →

40 claims

$0.00

$6.55

—

Normal range

90662Normal range

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55

G0009 See all providers →

14 claims

$0.00

$4.11

—

Normal range

G0009Normal range

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.11

A4657Syringe with needle, eachSee all providers →

225 claims

$0.00

$2.19

—

Normal range

A4657Normal range

Syringe with needle, each

225 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.19

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