Health Solutions
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 1463% from 2019 to 2020.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Clinic/Center Mental Health (Including Community Mental Health Center) Peers
Total spending distribution among 28 providers in this specialty
This provider's total spending of $118.6M is at the 25th percentile among 28 Clinic/Center Mental Health (Including Community Mental Health Center) providers.
Total Paid
$118.6M
$118,629,084
Total Claims
679K
Beneficiaries
384K
1.8 claims/patient
Avg Cost/Claim
$175
🔍 Analysis
Provider Overview
Health Solutions is a Clinic/Center Mental Health (Including Community Mental Health Center) provider based in Pueblo, CO. From the 2018–2024 period, this provider received $118.6M in Medicaid payments across 679K claims.
Why This Matters
This provider received $118.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 14,828 Medicaid beneficiaries for a full year at average per-enrollee costs.
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