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

Aspire Living & Learning, Inc.

Speech-Language Pathologist,

Barre, Vermont

NPI: 1316119910

Risk Tier

Critical

Total Paid

$21.2M

$21,199,132

Total Claims

66K

Beneficiaries

3K

Avg Cost/Claim

$319.80

Statistical Fraud Flags (3)

New Entrant

Started billing recently but already receiving millions in Medicaid payments.

First appeared in 2023-07 and has already billed $21.2M, averaging $1.3M/month across 16 months.

Instant Volume

New provider billing over $1M in their first year of Medicaid participation.

Billed $7.8M in first year (2023).

Consistent Billing

Monthly billing amounts show almost no natural variation (CV < 0.1).

Monthly billing coefficient of variation: 0.0355 (near-zero variation).

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