Is Provider 1831502822 flagged for Medicaid fraud?

Provider 1831502822 (NPI: 1831502822) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1831502822 bill Medicaid?

Provider 1831502822 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1831502822?

NPI 1831502822 is the National Provider Identifier for Provider 1831502822.. This NPI is registered with the CMS NPI Registry.

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Provider 1831502822

NPI: 1831502822Share

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

Total Paid

$13.2M

$13,156,600

Total Claims

704K

Beneficiaries

48K

14.6 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018

$703K

+119%

2019

$1.5M

+39%

2020

$2.1M

+22%

2021

$2.6M

-14%

2022

$2.2M

-5%

2023

$2.1M

-16%

2024

$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 80% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0020Alcohol/drug services; methadone administrationSee all providers →

$10.5M

630K claims

$16.66

$18.95

0.9×

Normal range

H0020Normal range

Alcohol/drug services; methadone administration

$10.5M

630K claims · 79.7%

Your Cost: $16.66/claim|Median: $18.95

0.9× median

H2015Comprehensive community support services, per 15 minSee all providers →

$974K

38K claims

$25.88

$96.24

0.3×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$974K

38K claims · 7.4%

Your Cost: $25.88/claim|Median: $96.24

0.3× median

H0002Behavioral health screeningSee all providers →

$655K

1,444 claims

$453.60

$38.77

11.7×

Top 1%

H0002Top 1%

Behavioral health screening

$655K

1,444 claims · 5.0%

Your Cost: $453.60/claim|Median: $38.77

11.7× median

H0007 See all providers →

$423K

17K claims

$24.82

$71.08

0.3×

Normal range

H0007Normal range

$423K

17K claims · 3.2%

Your Cost: $24.82/claim|Median: $71.08

0.3× median

H0001Alcohol and/or drug assessmentSee all providers →

$219K

1,268 claims

$173.09

$94.22

1.8×

Top 25%

H0001Top 25%

Alcohol and/or drug assessment

$219K

1,268 claims · 1.7%

Your Cost: $173.09/claim|Median: $94.22

1.8× median

H2021Community-based wrap-around services, per 15 minSee all providers →

$182K

10K claims

$17.36

$169.11

0.1×

Normal range

H2021Normal range

Community-based wrap-around services, per 15 min

$182K

10K claims · 1.4%

Your Cost: $17.36/claim|Median: $169.11

0.1× median

T1007Alcohol/drug services, treatment plan reviewSee all providers →

$97K

1,347 claims

$72.19

$64.10

1.1×

Normal range

T1007Normal range

Alcohol/drug services, treatment plan review

$97K

1,347 claims · 0.7%

Your Cost: $72.19/claim|Median: $64.10

1.1× median

H0046Mental health services, not otherwise specifiedSee all providers →

$61K

1,920 claims

$31.74

$85.02

0.4×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$61K

1,920 claims · 0.5%

Your Cost: $31.74/claim|Median: $85.02

0.4× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$53K

1,500 claims

$35.22

$106.70

0.3×

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

$53K

1,500 claims · 0.4%

Your Cost: $35.22/claim|Median: $106.70

0.3× median

90863 See all providers →

104 claims

$0.00

$29.71

—

Normal range

90863Normal range

104 claims · 0.0%

Your Cost: $0.00/claim|Median: $29.71

H2019Therapeutic behavioral services, per 15 minSee all providers →

1,426 claims

$0.00

$84.12

—

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

1,426 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.12

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