David J Wegman
Home Health
Hilton, New York
NPI: 1316066566
Risk Tier
Elevated
Total Paid
$95.1M
$95,050,690
Total Claims
469K
Beneficiaries
22K
Avg Cost/Claim
$202.69
Statistical Fraud Flags (1)
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T1019 (2 unique codes).
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