Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Children's Health System of Texas

General Acute Care Hospital Children

Dallas, Texas

NPI: 1194743013

Risk Tier

Critical

Total Paid

$263.8M

$263,765,033

Total Claims

1.4M

Beneficiaries

1.3M

Avg Cost/Claim

$193.28

Active billing period: 84 months (2018-01 to 2024-12)

Statistical Fraud Flags (5)

Billing Swing

Experienced over 200% change in year-over-year billing with >$1M absolute change.

Billing changed from $10.4M (2020) to $74.9M (2021) — a 619% swing with $64.5M absolute change.

Rate Outlier

Billing above the 90th percentile across multiple procedure codes simultaneously.

Billing above the 90th percentile for 320 procedure codes: 99283 at 10.5× median, 99284 at 13.0× median.

Explosive Growth

Billing increased over 500% year-over-year — far beyond normal growth patterns.

Billing grew 619% from 2020 to 2021.

High Cost Per Claim

Average payment per claim is much higher than peers billing the same procedures.

Spending Spike

Experienced a dramatic increase in billing over a short period.

Advanced Detection Signals

CUSUM Change Point

Billing shifted 44.2x in 2020-10 — 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