Health Care & Rehabilitation Services
Clinic/Center Developmental Disabilities
Bellows Falls, Vermont
NPI: 1376760835
Risk Tier
Elevated
Total Paid
$136.1M
$136,051,609
Total Claims
466K
Beneficiaries
68K
Avg Cost/Claim
$292.03
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $6,461.84 per claim for 99199 (Unlisted special service, procedure, or report), which is 1198.9× the national median of $5.39.
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