The Invisible Giant
NPI 1417262056 billed $7.18 billion over seven years — 90 million claims, 35,000 per day. But its identity is redacted. Who is the invisible giant?
Thursday, January 22, 2026|~10.5 min
“I have a number. I have billing data. But I don't know who this is.”
Key Findings
- 90 million claims from one provider (35,000/day)
- Identity redacted in official NPI registry
- 18% of providers account for 80% of spending
Data Points
Top 5 providers: ~27% of all spending
Top 10 providers: $37B (3.4% of total)
Cost variation: $79.95/claim vs $1,156/claim (14x difference)