Ashland Hospital Corporation
Clinic/Center, Rural Health
Ashland, Kentucky
NPI: 1851346720
Risk Tier
Elevated
Total Paid
$222.8M
$222,763,655
Total Claims
6.5M
Beneficiaries
5.0M
Avg Cost/Claim
$34.23
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 134 procedure codes: 99284 at 2.8× median, 74177 at 6.3× median.
Advanced Detection Signals
Billing Velocity
3521.4 claims per working day — may exceed physically possible volume for a single provider.
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