Tempus Unlimited, Inc.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $26.4M (2021) to $137.6M (2022) — a 421% swing with $111.2M absolute change.
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:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
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.
Compared to Voluntary or Charitable Peers
Total spending distribution among 13 providers in this specialty
This provider's total spending of $554.9M is at the 90th percentile among 13 Voluntary or Charitable providers.
Above 90th percentile for this specialty — higher spending than 11 of 13 peers
Total Paid
$554.9M
$554,866,274
Total Claims
6.6M
Beneficiaries
874K
7.6 claims/patient
Avg Cost/Claim
$84
#103 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Tempus Unlimited, Inc. is a Voluntary or Charitable provider based in Stoughton, MA. From the 2018–2024 period, this provider received $554.9M in Medicaid payments across 6.6M claims.
Important Context
- ℹ️This provider is a known fiscal management organization for self-directed care programs. They manage billing on behalf of thousands of individual caregivers, so aggregate billing is high by design. However, the self-directed care category has been identified as fraud-prone by regulators.
Why This Matters
This provider received $554.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 69,358 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 6 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 92% of total spending.
$509.8M
5.9M claims
$86.97
$82.47
Personal care services, per 15 min
$509.8M
5.9M claims · 91.9%
Case management, per month
$21.0M
402K claims · 3.8%
$12.1M
253K claims
$47.86
$296.27
Personal care services, per diem
$12.1M
253K claims · 2.2%
Home visit, assistance w/ ADLs
$6.3M
77K claims · 1.1%
$4.1M
25K claims · 0.7%
$1.7M
15K claims
$112.76
$106.70
Screening to determine appropriateness of consideration for program
$1.7M
15K claims · 0.3%
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