Pediatric Home Respiratory Services LLC
Home Health
Roseville, Minnesota
NPI: 1629141213
Risk Tier
Elevated
Total Paid
$197.5M
$197,481,599
Total Claims
1.1M
Beneficiaries
929K
Avg Cost/Claim
$172.53
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 59 procedure codes: E0465 at 2.2× median, B4149 at 1.8× 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