Seasons Hospice & Palliative Care of Maryland, LLC
Hospice Care, Community Based
Columbia, Maryland
NPI: 1003813718
Risk Tier
High
Total Paid
$84.9M
$84,921,535
Total Claims
19K
Beneficiaries
13K
Avg Cost/Claim
$4,453.15
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $4,453.15 per claim for Q5003 (Injection, infliximab-dyyb, biosimilar, 10 mg), which is 25.0× the national median of $177.99.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code Q5003 (1 unique codes).
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024