Nationwide Children's Hospital
Clinic/Center Multi-Specialty
Columbus, Ohio
NPI: 1851179873
Risk Tier
High
Total Paid
$13.0M
$12,992,014
Total Claims
417K
Beneficiaries
389K
Avg Cost/Claim
$31.17
Statistical Fraud Flags (2)
New Entrant
Started billing recently but already receiving millions in Medicaid payments.
First appeared in 2023-02 and has already billed $13.0M, averaging $565K/month across 23 months.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 916% from 2023 to 2024.
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