Innovive Health of Massachusetts LLC
Home Health
Medford, Massachusetts
NPI: 1093826596
Risk Tier
Elevated
Total Paid
$363.5M
$363,489,577
Total Claims
6.6M
Beneficiaries
449K
Avg Cost/Claim
$55.20
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $59.93 per claim for T1502 (Administration of oral, intramuscular, or subcutaneous medication), which is 7.6× the national median of $7.86.
Advanced Detection Signals
Billing Velocity
3563.6 claims per working day — may exceed physically possible volume for a single provider.
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