Spartanburg Medical Center
Ambulance
Spartanburg, South Carolina
NPI: 1609807122
Risk Tier
Elevated
Total Paid
$187.8M
$187,762,034
Total Claims
3.8M
Beneficiaries
3.0M
Avg Cost/Claim
$49.32
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 158 procedure codes: 80053 at 14.0× median, Q9967 at 98.5× 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