Mulberry Street Management Services Inc.
In Home Supportive Care
Morgantown, West Virginia
NPI: 1255523494
Risk Tier
Elevated
Total Paid
$175.6M
$175,627,727
Total Claims
790K
Beneficiaries
322K
Avg Cost/Claim
$222.43
Active billing period: 83 months (2018-01 to 2024-11)
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $288.95 per claim for T1019 (Personal care services, per 15 min), which is 3.5× the national median of $82.47.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 0.1x in 2022-10 — a statistically significant structural change in billing behavior was detected.
Suspicious Concentration
Herfindahl-Hirschman Index of 1 across 3 procedure codes — billing is highly concentrated in very few services.
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