Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CRANIAL TECHNOLOGIES, INC.

NPI: 1962947036 · CINCINNATI, OH 45209 · Customized Equipment (DME) · NPI assigned 12/28/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code S1040 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official JONES, TAMMY controls 20+ related entities in our dataset. Read more

$2.04M
Total Medicaid Paid
1,054
Total Claims
889
Beneficiaries
1
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJONES, TAMMY (NATIONAL FACILITY DIRECTOR)
Parent OrganizationCRANIAL TECHNOLOGIES, INC.
NPI Enumeration Date12/28/2016

Related Entities

Other providers sharing the same authorized official: JONES, TAMMY

ProviderCityStateTotal Paid
CRANIAL TECHNOLOGIES INC SAN DIEGO CA $15.01M
EAR, NOSE & THROAT ASSOCIATES OF NEW YORK,P.C. FRESH MEADOWS NY $12.76M
CRANIAL TECHNOLOGIES, INC. GLENDALE AZ $6.37M
CRANIAL TECHNOLOGIES INC PHOENIX AZ $5.50M
CRANIAL TECHNOLOGIES INC CHARLOTTE NC $4.99M
CRANIAL TECHNOLOGIES INC LOMBARD IL $4.96M
CRANIAL TECHNOLOGIES INC COLUMBIA MD $4.89M
CRANIAL TECHNOLOGIES, INC. MESA AZ $4.33M
CRANIAL TECHNOLOGIES, INC. ELGIN IL $4.02M
CRANIAL TECHNOLOGIES INC BOCA RATON FL $3.27M
CRANIAL TECHNOLOGIES INC CHICAGO IL $3.14M
CRANIAL TECHNOLOGIES, INC. ORLAND PARK IL $2.74M
CRANIAL TECHNOLOGIES INC ORLANDO FL $2.69M
CRANIAL TECHNOLOGIES INC SOUTH MIAMI FL $2.63M
CRANIAL TECHNOLOGIES INC CARY NC $2.52M
CRANIAL TECHNOLOGIES INC ORANGE CA $1.99M
CRANIAL TECHNOLOGIES, INC. THORNTON CO $1.94M
CRANIAL TECHNOLOGIES INC. TAMPA FL $1.71M
CRANIAL TECHNOLOGIES, INC. TUCSON AZ $1.59M
CRANIAL TECHNOLOGIES, INC. COLUMBUS OH $1.31M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56 $66K
2019 114 $221K
2020 70 $134K
2021 120 $277K
2022 213 $421K
2023 199 $377K
2024 282 $540K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S1040 Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) 1,054 889 $2.04M