Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $12.6M (2020) to $54.6M (2021) — a 333% swing with $42.0M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: 97530 at 3.2× median, 97810 at 2.5× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $105.25 per claim for T1999 (Miscellaneous therapeutic items and supplies) — 3.7× the national median of $28.63.
Bills $84.51 per claim for 97124 — 4.8× the national median of $17.78.
Bills $107.51 per claim for 97530 (Therapeutic activities, each 15 min) — 3.3× the national median of $33.11.
Billing above the 90th percentile for 3 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Supports Brokerage Peers
Total spending distribution among 14 providers in this specialty
This provider's total spending of $435.6M is at the 50th percentile among 14 Supports Brokerage providers.
Total Paid
$435.6M
$435,598,227
Total Claims
4.3M
Beneficiaries
379K
11.2 claims/patient
Avg Cost/Claim
$102
#144 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Palco, Inc. is a Supports Brokerage provider based in Maumelle, AR. From the 2018–2024 period, this provider received $435.6M in Medicaid payments across 4.3M claims.
Why This Matters
This provider received $435.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 54,449 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 23 distinct procedure codes. The top code (T2025 (Waiver services, NOS; per 15 min)) accounts for 37% of total spending.
$160.7M
1.1M claims
$151.79
$124.39
Waiver services, NOS; per 15 min
$160.7M
1.1M claims · 36.9%
Home visit, assistance w/ ADLs
$158.7M
1.7M claims · 36.4%
$78.3M
846K claims
$92.53
$82.34
Attendant care services, per 15 min
$78.3M
846K claims · 18.0%
$21.4M
331K claims
$64.63
$71.40
Respite care services, per 15 minutes
$21.4M
331K claims · 4.9%
$4.3M
41K claims
$105.25
$28.63
Miscellaneous therapeutic items and supplies
$4.3M
41K claims · 1.0%
$3.3M
41K claims
$81.23
$108.97
Financial management, self-directed; per month
$3.3M
41K claims · 0.8%
Case management, each 15 min
$1.6M
46K claims · 0.4%
$1.4M
75K claims
$19.35
$137.85
Other specified case management service, per 15 minutes
$1.4M
75K claims · 0.3%
$917K
45K claims · 0.2%
$906K
4K claims
$234.30
$96.24
Comprehensive community support services, per 15 min
$906K
4K claims · 0.2%
$786K
9K claims · 0.2%
$677K
23K claims
$29.57
$106.70
Screening to determine appropriateness of consideration for program
$677K
23K claims · 0.2%
$622K
7K claims · 0.1%
Therapeutic activities, each 15 min
$488K
5K claims · 0.1%
$481K
15K claims · 0.1%
Specialized supply, NOS; per unit
$358K
1K claims · 0.1%
$189K
3K claims
$70.88
$67.58
Day care services, adult, per half day
$189K
3K claims · 0.0%
$188K
6K claims
$32.09
$29.97
Emergency response system, per month
$188K
6K claims · 0.0%
Speech/hearing/language treatment
$117K
2K claims · 0.0%
$55K
25 claims
$2,219.16
$2,196.32
Home modifications, per service
$55K
25 claims · 0.0%
$42K
700 claims · 0.0%
$31K
536 claims · 0.0%
Homemaker service, NOS; per 15 min
$0
5K claims · 0.0%
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