CLASSIFIED
Free Speech Data
Act One
EP02
The Invisible Giant
NPI 1417262056
Act 1 · Episode 2
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?
January 22, 2026~10.5 min
“I have a number. I have billing data. But I don't know who this is.”
Key Findings
190 million claims from one provider (35,000/day)
2Identity redacted in official NPI registry
318% of providers account for 80% of spending
Data Points
Data
Top 5 providers: ~27% of all spending
Data
Top 10 providers: $37B (3.4% of total)
Data
Cost variation: $79.95/claim vs $1,156/claim (14x difference)
People & Entities
NPI 1417262056CMSNPPES
Locations
United States