Is Provider 1902128721 flagged for Medicaid fraud?

Provider 1902128721 (NPI: 1902128721) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1902128721 bill Medicaid?

Provider 1902128721 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1902128721?

NPI 1902128721 is the National Provider Identifier for Provider 1902128721.. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Provider 1902128721

NPI: 1902128721Share

Active Billing Period:2019-01→2024-12(65 months)

Total Paid

$15.0M

$14,988,133

Total Claims

160K

Beneficiaries

147K

1.1 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2019

$30K

+2611%

2020

$801K

+331%

2021

$3.4M

+9%

2022

$3.8M

+1%

2023

$3.8M

-17%

2024

$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 96% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S9083Global fee, urgent care centersSee all providers →

$14.4M

141K claims

$101.96

$103.99

1.0×

Normal range

S9083Normal range

Global fee, urgent care centers

$14.4M

141K claims · 95.8%

Your Cost: $101.96/claim|Median: $103.99

1.0× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$217K

4,395 claims

$49.46

$57.85

0.9×

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$217K

4,395 claims · 1.5%

Your Cost: $49.46/claim|Median: $57.85

0.9× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$184K

6,205 claims

$29.64

$37.81

0.8×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$184K

6,205 claims · 1.2%

Your Cost: $29.64/claim|Median: $37.81

0.8× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$108K

2,410 claims

$44.98

$53.41

0.8×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$108K

2,410 claims · 0.7%

Your Cost: $44.98/claim|Median: $53.41

0.8× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$80K

1,004 claims

$79.70

$84.03

0.9×

Normal range

99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$80K

1,004 claims · 0.5%

Your Cost: $79.70/claim|Median: $84.03

0.9× median

99211Office/outpatient visit, minimal complexitySee all providers →

$5K

234 claims

$20.77

$12.93

1.6×

Top 25%

99211Top 25%

Office/outpatient visit, minimal complexity

$5K

234 claims · 0.0%

Your Cost: $20.77/claim|Median: $12.93

1.6× median

0001ACOVID-19 vaccine admin, Pfizer, 1st doseSee all providers →

$4K

108 claims

$39.56

$33.72

1.2×

Normal range

0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$4K

108 claims · 0.0%

Your Cost: $39.56/claim|Median: $33.72

1.2× median

87811SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-readSee all providers →

$4K

318 claims

$11.86

$30.53

0.4×

Normal range

87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$4K

318 claims · 0.0%

Your Cost: $11.86/claim|Median: $30.53

0.4× median

87804Influenza virus detection, rapid testSee all providers →

$4K

338 claims

$10.95

$12.59

0.9×

Normal range

87804Normal range

Influenza virus detection, rapid test

$4K

338 claims · 0.0%

Your Cost: $10.95/claim|Median: $12.59

0.9× median

G2023Specimen collection for COVID-19 testingSee all providers →

$3K

180 claims

$19.03

$17.15

1.1×

Normal range

G2023Normal range

Specimen collection for COVID-19 testing

$3K

180 claims · 0.0%

Your Cost: $19.03/claim|Median: $17.15

1.1× median

0002ACOVID-19 vaccine admin, Pfizer, 2nd doseSee all providers →

$3K

71 claims

$39.13

$36.70

1.1×

Normal range

0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$3K

71 claims · 0.0%

Your Cost: $39.13/claim|Median: $36.70

1.1× median

99212Office/outpatient visit, low complexitySee all providers →

$2K

155 claims

$15.67

$25.06

0.6×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$2K

155 claims · 0.0%

Your Cost: $15.67/claim|Median: $25.06

0.6× median

99202Office/outpatient visit, new patient, low complexitySee all providers →

$1K

40 claims

$36.73

$40.11

0.9×

Normal range

99202Normal range

Office/outpatient visit, new patient, low complexity

$1K

40 claims · 0.0%

Your Cost: $36.73/claim|Median: $40.11

0.9× median

71046Chest X-ray, 2 viewsSee all providers →

$1K

57 claims

$22.60

$8.92

2.5×

Top 25%

71046Top 25%

Chest X-ray, 2 views

$1K

57 claims · 0.0%

Your Cost: $22.60/claim|Median: $8.92

2.5× median

87880Streptococcus, Group A, rapid antigen detectionSee all providers →

$1K

241 claims

$5.30

$11.48

0.5×

Normal range

87880Normal range

Streptococcus, Group A, rapid antigen detection

$1K

241 claims · 0.0%

Your Cost: $5.30/claim|Median: $11.48

0.5× median

73610X-ray of ankle, complete, minimum three viewsSee all providers →

$660

26 claims

$25.37

$13.55

1.9×

Top 25%

73610Top 25%

X-ray of ankle, complete, minimum three views

$660

26 claims · 0.0%

Your Cost: $25.37/claim|Median: $13.55

1.9× median

87426SARS-CoV-2 COVID-19 antigen detection, immunoassaySee all providers →

$618

17 claims

$36.38

$30.04

1.2×

Top 25%

87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$618

17 claims · 0.0%

Your Cost: $36.38/claim|Median: $30.04

1.2× median

73630X-ray, foot, complete, minimum 3 viewsSee all providers →

$538

30 claims

$17.92

$12.06

1.5×

Normal range

73630Normal range

X-ray, foot, complete, minimum 3 views

$538

30 claims · 0.0%

Your Cost: $17.92/claim|Median: $12.06

1.5× median

36415Collection of venous blood by venipunctureSee all providers →

$497

71 claims

$7.00

$1.57

4.5×

Top 10%

36415Top 10%

Collection of venous blood by venipuncture

$497

71 claims · 0.0%

Your Cost: $7.00/claim|Median: $1.57

4.5× median

S9088Services provided in an urgent care centerSee all providers →

$359

100 claims

$3.59

$28.22

0.1×

Normal range

S9088Normal range

Services provided in an urgent care center

$359

100 claims · 0.0%

Your Cost: $3.59/claim|Median: $28.22

0.1× median

81003Urinalysis, automated without microscopySee all providers →

$343

119 claims

$2.88

$1.48

1.9×

Top 10%

81003Top 10%

Urinalysis, automated without microscopy

$343

119 claims · 0.0%

Your Cost: $2.88/claim|Median: $1.48

1.9× median

73130 See all providers →

$200

13 claims

$15.35

$10.69

1.4×

Normal range

73130Normal range

$200

13 claims · 0.0%

Your Cost: $15.35/claim|Median: $10.69

1.4× median

99000 See all providers →

$196

1,904 claims

$0.10

$2.30

0.0×

Normal range

99000Normal range

$196

1,904 claims · 0.0%

Your Cost: $0.10/claim|Median: $2.30

0.0× median

G8484 See all providers →

497 claims

$0.00

$0.06

—

Normal range

G8484Normal range

497 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06

99072 See all providers →

962 claims

$0.00

$0.54

—

Normal range

99072Normal range

962 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.54

J0696 See all providers →

50 claims

$0.00

$1.34

—

Normal range

J0696Normal range

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.34

91300COVID-19 vaccine (Pfizer), first doseSee all providers →

14 claims

$0.00

$0.01

—

Normal range

91300Normal range

COVID-19 vaccine (Pfizer), first dose

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01

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