County of Solano
Public Health or Welfare
Fairfield, California
NPI: 1508072588
Risk Tier
High
Total Paid
$200.6M
$200,572,129
Total Claims
598K
Beneficiaries
271K
Avg Cost/Claim
$335.17
Active billing period: 81 months (2018-01 to 2024-09)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $302.82 per claim for H2015 (Comprehensive community support services, per 15 min), which is 3.1× the national median of $96.24.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 21 procedure codes: H2010 at 6.3× median, 90837 at 4.8× median.
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