Brightview LLC
Internal Medicine Addiction Medicine
Cincinnati, Ohio
NPI: 1659769446
Risk Tier
High
Total Paid
$501.1M
$501,081,514
Total Claims
7.9M
Beneficiaries
5.0M
Avg Cost/Claim
$63.25
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $176.81 per claim for T1502 (Administration of oral, intramuscular, or subcutaneous medication), which is 22.5× the national median of $7.86.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 5 procedure codes: S5000 at 28.9× median, T1502 at 22.5× median.
Advanced Detection Signals
Billing Velocity
4286.8 claims per working day — may exceed physically possible volume for a single provider.
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