DHHS IHS Phoenix Area
General Acute Care Hospital
Whiteriver, Arizona
NPI: 1427335140
Risk Tier
Elevated
Total Paid
$91.0M
$91,002,412
Total Claims
193K
Beneficiaries
131K
Avg Cost/Claim
$471.23
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $543.90 per claim for 99211 (Office/outpatient visit, minimal complexity), which is 42.1× the national median of $12.93.
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