County of Santa Cruz
Clinic/Center
Santa Cruz, California
NPI: 1659315430
Risk Tier
Elevated
Total Paid
$276.3M
$276,252,681
Total Claims
1.7M
Beneficiaries
260K
Avg Cost/Claim
$162.61
Active billing period: 81 months (2018-01 to 2024-09)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 21 procedure codes: H2017 at 2.9× median, H2015 at 4.4× 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