Purfoods LLC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 4 procedure codes: W1764 at 7.4× median, W1759 at 4.5× median.
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:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $63.04 per claim for W1764 — 7.4× the national median of $8.47.
Bills $55.09 per claim for W1759 — 4.5× the national median of $12.28.
Billing in the top 1% nationally for 4 procedure codes: W1764, W1759, 1551P.
This is a statistical summary, not an accusation. See our methodology.
Total Paid
$910.6M
$910,633,453
Total Claims
51.0M
Beneficiaries
4.6M
11.2 claims/patient
Avg Cost/Claim
$18
#40 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Purfoods LLC is a Home Delivered Meals provider based in Ankeny, IA. From the 2018–2024 period, this provider received $910.6M in Medicaid payments across 51.0M claims.
Why This Matters
This provider received $910.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 113,829 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 17 distinct procedure codes. The top code (S5170 (Homemaker service, NOS, per diem)) accounts for 93% of total spending.
$849.1M
49.5M claims
$17.17
$19.89
Homemaker service, NOS, per diem
$849.1M
49.5M claims · 93.2%
$50.1M
784K claims · 5.5%
Home infusion therapy, unspecified
$3.9M
103K claims · 0.4%
$2.9M
309K claims · 0.3%
$1.5M
24K claims · 0.2%
$1.4M
272K claims · 0.2%
Nutritional counseling
$1.1M
25K claims · 0.1%
$218K
4K claims · 0.0%
$183K
2K claims · 0.0%
$95K
2K claims
$44.44
$71.73
Pediatric disposable incontinence product, pull-on, large
$95K
2K claims · 0.0%
$38K
4K claims · 0.0%
$26K
2K claims · 0.0%
$16K
3K claims · 0.0%
$7K
2K claims · 0.0%
$665
19 claims · 0.0%
$0
14K claims
$0.00
$5.39
Unlisted special service, procedure, or report
$0
14K claims · 0.0%
Activity therapy, per 15 minutes
$0
2K claims · 0.0%
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