Orsini Pharmaceutical Services LLC
Pharmacy Specialty Pharmacy
Elk Grove Village, Illinois
NPI: 1073608998
Risk Tier
High
Total Paid
$187.5M
$187,472,847
Total Claims
30K
Beneficiaries
16K
Avg Cost/Claim
$6,303.94
Active billing period: 83 months (2018-01 to 2024-11)
Statistical Fraud Flags (2)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $4.6M (2020) to $22.5M (2021) — a 388% swing with $17.9M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: J1428 at 1.0× median, J3490 at 6213.9× median.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 7.8x in 2021-10 — a statistically significant structural change in billing behavior was detected.
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