Act Home Health Services INC
Home Health
Philadelphia, Pennsylvania
NPI: 1306878798
Risk Tier
High
Total Paid
$126.0M
$125,953,527
Total Claims
174K
Beneficiaries
9K
Avg Cost/Claim
$723.50
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (2)
High Claims Per Patient
Filing an unusually high number of claims per beneficiary compared to peers.
Spending Spike
Experienced a dramatic increase in billing over a short period.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 5.7x in 2020-09 — 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