Is Provider 1992842496 flagged for Medicaid fraud?

Provider 1992842496 (NPI: 1992842496) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1992842496 bill Medicaid?

Provider 1992842496 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1992842496?

NPI 1992842496 is the National Provider Identifier for Provider 1992842496.. This NPI is registered with the CMS NPI Registry.

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Provider 1992842496

NPI: 1992842496Share

Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.2M

$9,246,032

Total Claims

82K

Beneficiaries

61K

1.4 claims/patient

Avg Cost/Claim

$112

Monthly Spending Trend

Yearly Spending

2018

$1.1M

+2%

2019

$1.1M

+0%

2020

$1.1M

+36%

2021

$1.5M

+2%

2022

$1.5M

+10%

2023

$1.7M

-26%

2024

$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 32% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

D7210Extraction, erupted tooth, surgical approachSee all providers →

$3.0M

21K claims

$138.31

$109.42

1.3×

Top 25%

D7210Top 25%

Extraction, erupted tooth, surgical approach

$3.0M

21K claims · 32.1%

Your Cost: $138.31/claim|Median: $109.42

1.3× median

D7240Extraction, impacted tooth, complete bonySee all providers →

$2.3M

6,885 claims

$339.36

$231.00

1.5×

Top 10%

D7240Top 10%

Extraction, impacted tooth, complete bony

$2.3M

6,885 claims · 25.3%

Your Cost: $339.36/claim|Median: $231.00

1.5× median

D7230Extraction, impacted tooth, partial bonySee all providers →

$1.5M

4,588 claims

$321.89

$187.09

1.7×

Top 5%

D7230Top 5%

Extraction, impacted tooth, partial bony

$1.5M

4,588 claims · 16.0%

Your Cost: $321.89/claim|Median: $187.09

1.7× median

D0140Limited oral evaluation, problem focusedSee all providers →

$730K

15K claims

$49.19

$27.07

1.8×

Top 10%

D0140Top 10%

Limited oral evaluation, problem focused

$730K

15K claims · 7.9%

Your Cost: $49.19/claim|Median: $27.07

1.8× median

D0330Panoramic radiographic imageSee all providers →

$609K

11K claims

$54.07

$37.36

1.4×

Top 25%

D0330Top 25%

Panoramic radiographic image

$609K

11K claims · 6.6%

Your Cost: $54.07/claim|Median: $37.36

1.4× median

D7140Extraction, erupted tooth or exposed rootSee all providers →

$535K

6,214 claims

$86.07

$57.39

1.5×

Top 25%

D7140Top 25%

Extraction, erupted tooth or exposed root

$535K

6,214 claims · 5.8%

Your Cost: $86.07/claim|Median: $57.39

1.5× median

D9230Inhalation of nitrous oxide/analgesia, anxiolysisSee all providers →

$366K

15K claims

$25.21

$26.24

1.0×

Normal range

D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$366K

15K claims · 4.0%

Your Cost: $25.21/claim|Median: $26.24

1.0× median

D7220 See all providers →

$147K

700 claims

$209.56

$138.00

1.5×

Top 10%

D7220Top 10%

$147K

700 claims · 1.6%

Your Cost: $209.56/claim|Median: $138.00

1.5× median

D9310 See all providers →

$64K

1,540 claims

$41.85

$46.20

0.9×

Normal range

D9310Normal range

$64K

1,540 claims · 0.7%

Your Cost: $41.85/claim|Median: $46.20

0.9× median

D7241 See all providers →

$6K

15 claims

$425.00

$242.62

1.8×

Top 5%

D7241Top 5%

$6K

15 claims · 0.1%

Your Cost: $425.00/claim|Median: $242.62

1.8× median

D7280 See all providers →

$5K

20 claims

$230.00

$175.60

1.3×

Top 25%

D7280Top 25%

$5K

20 claims · 0.0%

Your Cost: $230.00/claim|Median: $175.60

1.3× median

D0171 See all providers →

$215

14 claims

$15.36

$14.08

1.1×

Normal range

D0171Normal range

$215

14 claims · 0.0%

Your Cost: $15.36/claim|Median: $14.08

1.1× median

D1999 See all providers →

188 claims

$0.00

$11.95

—

Normal range

D1999Normal range

188 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95

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