Is Provider 1902278906 flagged for Medicaid fraud?

Provider 1902278906 (NPI: 1902278906) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1902278906 bill Medicaid?

Provider 1902278906 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1902278906?

NPI 1902278906 is the National Provider Identifier for Provider 1902278906.. This NPI is registered with the CMS NPI Registry.

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Provider 1902278906

NPI: 1902278906Share

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.8M

$10,807,405

Total Claims

235K

Beneficiaries

220K

1.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018

$1.6M

+1%

2019

$1.6M

-11%

2020

$1.5M

+33%

2021

$1.9M

-6%

2022

$1.8M

-13%

2023

$1.6M

-52%

2024

$751K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 52% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

99285Emergency dept visit, high/urgent complexitySee all providers →

$5.6M

78K claims

$72.05

$85.65

0.8×

Normal range

99285Normal range

Emergency dept visit, high/urgent complexity

$5.6M

78K claims · 52.2%

Your Cost: $72.05/claim|Median: $85.65

0.8× median

99284Emergency dept visit, high complexitySee all providers →

$3.5M

67K claims

$51.42

$69.51

0.7×

Normal range

99284Normal range

Emergency dept visit, high complexity

$3.5M

67K claims · 32.1%

Your Cost: $51.42/claim|Median: $69.51

0.7× median

99283Emergency dept visit, moderate complexitySee all providers →

$1.4M

48K claims

$28.78

$42.48

0.7×

Normal range

99283Normal range

Emergency dept visit, moderate complexity

$1.4M

48K claims · 12.8%

Your Cost: $28.78/claim|Median: $42.48

0.7× median

99053 See all providers →

$244K

40K claims

$6.09

$0.38

16.0×

Top 25%

99053Top 25%

$244K

40K claims · 2.3%

Your Cost: $6.09/claim|Median: $0.38

16.0× median

99291Critical care, first 30-74 minutesSee all providers →

$31K

412 claims

$75.87

$101.24

0.7×

Normal range

99291Normal range

Critical care, first 30-74 minutes

$31K

412 claims · 0.3%

Your Cost: $75.87/claim|Median: $101.24

0.7× median

99223Initial hospital care, per day, high complexitySee all providers →

$16K

170 claims

$93.92

$67.32

1.4×

Normal range

99223Normal range

Initial hospital care, per day, high complexity

$16K

170 claims · 0.1%

Your Cost: $93.92/claim|Median: $67.32

1.4× median

99282Emergency dept visit, low complexitySee all providers →

$6K

356 claims

$18.10

$37.72

0.5×

Normal range

99282Normal range

Emergency dept visit, low complexity

$6K

356 claims · 0.1%

Your Cost: $18.10/claim|Median: $37.72

0.5× median

99220 See all providers →

$6K

102 claims

$61.06

$73.56

0.8×

Normal range

99220Normal range

$6K

102 claims · 0.1%

Your Cost: $61.06/claim|Median: $73.56

0.8× median

99238Hospital discharge day management, 30 minutes or lessSee all providers →

$4K

129 claims

$32.54

$37.22

0.9×

Normal range

99238Normal range

Hospital discharge day management, 30 minutes or less

$4K

129 claims · 0.0%

Your Cost: $32.54/claim|Median: $37.22

0.9× median

99217 See all providers →

$4K

130 claims

$29.42

$31.89

0.9×

Normal range

99217Normal range

$4K

130 claims · 0.0%

Your Cost: $29.42/claim|Median: $31.89

0.9× median

99406 See all providers →

$237

36 claims

$6.59

$6.53

1.0×

Normal range

99406Normal range

$237

36 claims · 0.0%

Your Cost: $6.59/claim|Median: $6.53

1.0× median

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