County of Stanislaus
Community/Behavioral Health
Modesto, California
NPI: 1831227974
Risk Tier
High
Total Paid
$63.5M
$63,544,673
Total Claims
196K
Beneficiaries
101K
Avg Cost/Claim
$323.58
Statistical Fraud Flags (2)
New Entrant
Started billing recently but already receiving millions in Medicaid payments.
First appeared in 2023-07 and has already billed $63.5M, averaging $3.7M/month across 17 months.
Instant Volume
New provider billing over $1M in their first year of Medicaid participation.
Billed $25.6M in first year (2023).
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