Southern California Permanente Medical Group
Health Maintenance Organization
Riverside, California
NPI: 1316979834
Risk Tier
Elevated
Total Paid
$15.7M
$15,655,234
Total Claims
1.7M
Beneficiaries
1.7M
Avg Cost/Claim
$8.99
Statistical Fraud Flags (1)
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 3319% from 2023 to 2024.
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