West Virginia's Choice
Home Health
Morgantown, West Virginia
NPI: 1821206228
Risk Tier
Elevated
Total Paid
$72.8M
$72,758,338
Total Claims
305K
Beneficiaries
135K
Avg Cost/Claim
$238.85
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $336.45 per claim for S5130 (Homemaker service, NOS; per 15 min), which is 6.9× the national median of $48.76.
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