Kaiser Foundation Hospitals
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 1246% from 2018 to 2019.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to General Acute Care Hospital Peers
Total spending distribution among 156 providers in this specialty
This provider's total spending of $101.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.
Total Paid
$101.2M
$101,236,595
Total Claims
2.4M
Beneficiaries
2.0M
1.2 claims/patient
Avg Cost/Claim
$42
🔍 Analysis
Provider Overview
Kaiser Foundation Hospitals is a General Acute Care Hospital provider based in Downey, CA. From the 2018–2024 period, this provider received $101.2M in Medicaid payments across 2.4M claims.
Why This Matters
This provider received $101.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 12,654 Medicaid beneficiaries for a full year at average per-enrollee costs.
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