Tricore Inc.
Clinical Medical Laboratory
Albuquerque, New Mexico
NPI: 1841962289
Risk Tier
High
Total Paid
$35.8M
$35,835,115
Total Claims
1.8M
Beneficiaries
1.8M
Avg Cost/Claim
$19.45
Statistical Fraud Flags (2)
New Entrant
Started billing recently but already receiving millions in Medicaid payments.
First appeared in 2022-07 and has already billed $35.8M, averaging $1.2M/month across 30 months.
Instant Volume
New provider billing over $1M in their first year of Medicaid participation.
Billed $6.8M in first year (2022).
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