Is Provider 1831651330 flagged for Medicaid fraud?

Provider 1831651330 (NPI: 1831651330) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1831651330 bill Medicaid?

Provider 1831651330 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1831651330?

NPI 1831651330 is the National Provider Identifier for Provider 1831651330.. This NPI is registered with the CMS NPI Registry.

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Provider 1831651330

NPI: 1831651330Share

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

Total Paid

$15.5M

$15,497,581

Total Claims

159K

Beneficiaries

32K

4.9 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018

$2.5M

+2%

2019

$2.6M

-16%

2020

$2.2M

-6%

2021

$2.1M

+1%

2022

$2.1M

+7%

2023

$2.2M

-16%

2024

$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 43% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0018Behavioral health; short-term residential, per diemSee all providers →

$6.6M

35K claims

$186.90

$467.51

0.4×

Normal range

H0018Normal range

Behavioral health; short-term residential, per diem

$6.6M

35K claims · 42.6%

Your Cost: $186.90/claim|Median: $467.51

0.4× median

H0010Alcohol and/or drug services, sub-acute detoxification, per diemSee all providers →

$3.9M

12K claims

$330.57

$369.55

0.9×

Normal range

H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$3.9M

12K claims · 25.3%

Your Cost: $330.57/claim|Median: $369.55

0.9× median

S9976 See all providers →

$2.3M

75K claims

$30.17

$64.43

0.5×

Normal range

S9976Normal range

$2.3M

75K claims · 14.7%

Your Cost: $30.17/claim|Median: $64.43

0.5× median

90834Psychotherapy, 45 minutesSee all providers →

$1.0M

12K claims

$84.00

$63.65

1.3×

Top 25%

90834Top 25%

Psychotherapy, 45 minutes

$1.0M

12K claims · 6.7%

Your Cost: $84.00/claim|Median: $63.65

1.3× median

90853Group psychotherapySee all providers →

$633K

13K claims

$49.84

$25.02

2.0×

Top 25%

90853Top 25%

Group psychotherapy

$633K

13K claims · 4.1%

Your Cost: $49.84/claim|Median: $25.02

2.0× median

90837Psychotherapy, 60 minutesSee all providers →

$463K

5,053 claims

$91.70

$85.66

1.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$463K

5,053 claims · 3.0%

Your Cost: $91.70/claim|Median: $85.66

1.1× median

H0001Alcohol and/or drug assessmentSee all providers →

$283K

1,844 claims

$153.37

$94.22

1.6×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$283K

1,844 claims · 1.8%

Your Cost: $153.37/claim|Median: $94.22

1.6× median

T1007Alcohol/drug services, treatment plan reviewSee all providers →

$132K

1,508 claims

$87.35

$64.10

1.4×

Normal range

T1007Normal range

Alcohol/drug services, treatment plan review

$132K

1,508 claims · 0.8%

Your Cost: $87.35/claim|Median: $64.10

1.4× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$76K

1,863 claims

$40.95

$55.04

0.7×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$76K

1,863 claims · 0.5%

Your Cost: $40.95/claim|Median: $55.04

0.7× median

90832Psychotherapy, 30 minutesSee all providers →

$66K

1,448 claims

$45.63

$41.28

1.1×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$66K

1,448 claims · 0.4%

Your Cost: $45.63/claim|Median: $41.28

1.1× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$6K

82 claims

$70.02

$74.63

0.9×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$6K

82 claims · 0.0%

Your Cost: $70.02/claim|Median: $74.63

0.9× median

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