County of Tulare
Clinic/Center Public Health State or Local
Visalia, California
NPI: 1528105558
Risk Tier
Elevated
Total Paid
$273.7M
$273,741,644
Total Claims
2.9M
Beneficiaries
820K
Avg Cost/Claim
$95.53
Active billing period: 83 months (2018-01 to 2024-11)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 22 procedure codes: 90837 at 5.8× median, 99233 at 39.8× 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